National Provider Identifier
Marisa Vallone Bradfield, MS, PA-C
Marisa Vallone Bradfield, MS, PA-C 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
- 1376819961
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- March 28, 2012
- Last Updated
- December 31, 2018
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 468 Woodward Ave
- Buffalo, NY 14214-1940
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1376819961
- Entity Type
- Individual
- Last Name
- Bradfield
- First Name
- Marisa
- Middle Name
- Vallone
- Name Prefix
- Mrs.
- Credential
- MS, PA-C
- Mailing Street Address
- 468 Woodward Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-1940
- Mailing Country
- US
- Mailing Phone
- (716) 807-2288
- 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
- March 28, 2012
- Last Updated
- December 31, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 03876217 (NY)