National Provider Identifier
Alyssa Christine Vasiloff, PA-C
Alyssa Christine Vasiloff, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 204-4500.
Profile Overview
- NPI
- 1285074856
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 27, 2013
- Last Updated
- June 27, 2017
Practice Location
- 1 John James Audubon Pkwy
- Amherst, NY 14228-1143
Phone: (716) 204-4500
Mailing Address
- 2991 Bravura Lake Dr
- Sarasota, FL 34240
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1285074856
- Entity Type
- Individual
- Last Name
- Vasiloff
- First Name
- Alyssa
- Middle Name
- Christine
- Name Prefix
- Mrs.
- Credential
- PA-C
- Provider Other Last Name
- Koons
- Provider Other First Name
- Alyssa
- Provider Other Middle Name
- Christine
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 2991 Bravura Lake Dr
- Mailing City
- Sarasota
- Mailing State
- FL
- Mailing ZIP Code
- 34240
- Mailing Country
- US
- Mailing Phone
- (716) 867-8450
- Practice Street Address
- 1 John James Audubon Pkwy
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14228-1143
- Practice Country
- US
- Practice Phone
- (716) 204-4500
- Practice Fax
- (716) 817-1900
- Enumeration Date
- June 27, 2013
- Last Updated
- June 27, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)