National Provider Identifier

Avriel Sarah Kopp, PA-C

Avriel Sarah Kopp, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 634-6224.

NPI 1356744650Williamsville, NYMedical Physician Assistant

Profile Overview

NPI
1356744650
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
September 30, 2014
Last Updated
January 22, 2016

Practice Location

  • 6645 Main St. Suite B
  • ENT Care Of Wny
  • Williamsville, NY 14221

Phone: (716) 634-6224

Mailing Address

  • 6645 Main St Suite B
  • ENT Care Of Wny
  • Williamsville, NY 14221

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1356744650
Entity Type
Individual
Last Name
Kopp
First Name
Avriel
Middle Name
Sarah
Name Prefix
Mrs.
Credential
PA-C
Provider Other Last Name
Harrington
Provider Other First Name
Avriel
Provider Other Middle Name
Sarah
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
PA-C
Provider Other Last Name Type Code
1
Mailing Street Address
6645 Main St Suite B
Mailing Address Line 2
ENT Care Of Wny
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221
Mailing Country
US
Mailing Phone
(716) 634-6224
Mailing Fax
(716) 634-3816
Practice Street Address
6645 Main St. Suite B
Practice Address Line 2
ENT Care Of Wny
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221
Practice Country
US
Practice Phone
(716) 634-6224
Practice Fax
(716) 634-3816
Enumeration Date
September 30, 2014
Last Updated
January 22, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)