National Provider Identifier
Alan Vlieg, PA
Alan Vlieg, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 674-3104.
Profile Overview
- NPI
- 1245860840
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 22, 2020
- Last Updated
- August 29, 2024
Practice Location
- 3041 Orchard Park RD
- Ste C
- Orchard Park, NY 14127-1238
Phone: (716) 674-3104
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1245860840
- Entity Type
- Individual
- Last Name
- Vlieg
- First Name
- Alan
- Credential
- PA
- Mailing Street Address
- 3041 Orchard Park RD
- Mailing Address Line 2
- Ste C
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1238
- Mailing Country
- US
- Mailing Phone
- (716) 674-3104
- Mailing Fax
- (716) 674-0666
- Practice Street Address
- 3041 Orchard Park RD
- Practice Address Line 2
- Ste C
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1238
- Practice Country
- US
- Practice Phone
- (716) 674-3104
- Practice Fax
- (716) 674-0666
- Enumeration Date
- January 22, 2020
- Last Updated
- August 29, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- May 11, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)