National Provider Identifier
Zachary Tyler Lewis, PA-C
Zachary Tyler Lewis, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 260-1593.
Profile Overview
- NPI
- 1316713597
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 29, 2023
- Last Updated
- November 29, 2023
Practice Location
- 5959 Big Tree RD
- Orchard Park, NY 14127-2291
Phone: (716) 260-1593
Mailing Address
- 334 Willet RD
- Blasdell, NY 14219-1024
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1316713597
- Entity Type
- Individual
- Last Name
- Lewis
- First Name
- Zachary
- Middle Name
- Tyler
- Credential
- PA-C
- Mailing Street Address
- 334 Willet RD
- Mailing City
- Blasdell
- Mailing State
- NY
- Mailing ZIP Code
- 14219-1024
- Mailing Country
- US
- Mailing Phone
- (716) 848-9828
- Practice Street Address
- 5959 Big Tree RD
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2291
- Practice Country
- US
- Practice Phone
- (716) 260-1593
- Enumeration Date
- November 29, 2023
- Last Updated
- November 29, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- November 29, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)