National Provider Identifier
Nicole C Scovazzo, PA-C
Nicole C Scovazzo, PA-C is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 565-3990.
Profile Overview
- NPI
- 1306023866
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- January 28, 2008
- Last Updated
- April 03, 2018
Practice Location
- 30 N Union RD Ste 104
- Buffalo, NY 14221-5367
Phone: (716) 565-3990
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1306023866
- Entity Type
- Individual
- Last Name
- Scovazzo
- First Name
- Nicole
- Middle Name
- C
- Credential
- PA-C
- Provider Other Last Name
- Rossney
- Provider Other First Name
- Nicole
- Provider Other Middle Name
- C
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 30 N Union RD Ste 104
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14221-5367
- Practice Country
- US
- Practice Phone
- (716) 565-3990
- Practice Fax
- (716) 565-3988
- Enumeration Date
- January 28, 2008
- Last Updated
- April 03, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)