National Provider Identifier
Natasha Petersen
Natasha Petersen is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1376259176
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 25, 2023
- Last Updated
- January 25, 2023
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 77 Goodell St Ste 340
- Buffalo, NY 14203-1243
Specialties
- Physician Assistant (363A00000X)
Endpoints
- securerecords.sanford.html
Connect Url | Buffalo, NY 14203
Full Record
- NPI
- 1376259176
- Entity Type
- Individual
- Last Name
- Petersen
- First Name
- Natasha
- Mailing Street Address
- 77 Goodell St Ste 340
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14203-1243
- Mailing Country
- US
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- January 25, 2023
- Last Updated
- January 25, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)