National Provider Identifier

Dorothy Ruth Ganschow, PA-C

Dorothy Ruth Ganschow, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 862-8757.

NPI 1366427288Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1366427288
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
December 14, 2005
Last Updated
July 09, 2007

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 862-8757

Mailing Address

  • 6100 Eastwood RD
  • Clarence Center, NY 14032-9653

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1366427288
Entity Type
Individual
Last Name
Ganschow
First Name
Dorothy
Middle Name
Ruth
Name Prefix
Mrs.
Credential
PA-C
Mailing Street Address
6100 Eastwood RD
Mailing City
Clarence Center
Mailing State
NY
Mailing ZIP Code
14032-9653
Mailing Country
US
Mailing Phone
(716) 741-4603
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 862-8757
Practice Fax
(716) 862-3298
Enumeration Date
December 14, 2005
Last Updated
July 09, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)