National Provider Identifier
Mariella Katherine Castro Begazo Hertwig, PA-C
Mariella Katherine Castro Begazo Hertwig, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (917) 261-4414.
Profile Overview
- NPI
- 1356712053
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- October 07, 2015
- Last Updated
- April 02, 2025
Practice Location
- 199 Scott St Fl 8
- Buffalo, NY 14204-2208
Phone: (917) 261-4414
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1356712053
- Entity Type
- Individual
- Last Name
- Castro Begazo Hertwig
- First Name
- Mariella
- Middle Name
- Katherine
- Credential
- PA-C
- Provider Other Last Name
- Castro
- Provider Other First Name
- Mariella
- Provider Other Middle Name
- Katherine
- Provider Other Credential Text
- PA-C
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 199 Scott St Fl 8
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-2208
- Mailing Country
- US
- Mailing Phone
- (917) 261-4414
- Practice Street Address
- 199 Scott St Fl 8
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-2208
- Practice Country
- US
- Practice Phone
- (917) 261-4414
- Enumeration Date
- October 07, 2015
- Last Updated
- April 02, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- April 02, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)