National Provider Identifier
Amy-Jo Lavay Burroughs, PAC
Amy-Jo Lavay Burroughs, PAC is listed in the NPPES registry with a primary specialty of Physician Assistant in Gowanda, NY and a listed phone number of (716) 241-7067.
Profile Overview
- NPI
- 1366406134
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 17, 2006
- Last Updated
- June 23, 2014
Practice Location
- 1 School St
- Suite 107
- Gowanda, NY 14070-1133
Phone: (716) 241-7067
Mailing Address
- 1 School Street
- Suite 107
- Gowanda, NY 14070-1133
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1366406134
- Entity Type
- Individual
- Last Name
- Burroughs
- First Name
- Amy-Jo
- Middle Name
- Lavay
- Name Prefix
- MS.
- Credential
- PAC
- Mailing Street Address
- 1 School Street
- Mailing Address Line 2
- Suite 107
- Mailing City
- Gowanda
- Mailing State
- NY
- Mailing ZIP Code
- 14070-1133
- Mailing Country
- US
- Mailing Phone
- (716) 241-7067
- Mailing Fax
- (716) 241-7197
- Practice Street Address
- 1 School St
- Practice Address Line 2
- Suite 107
- Practice City
- Gowanda
- Practice State
- NY
- Practice ZIP Code
- 14070-1133
- Practice Country
- US
- Practice Phone
- (716) 241-7067
- Practice Fax
- (716) 241-7197
- Enumeration Date
- April 17, 2006
- Last Updated
- June 23, 2014
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 02626126 (NY), 6209596955 (NY, Department Of Transportation)