National Provider Identifier
Beth A Gillezeau, PA
Beth A Gillezeau, PA is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in East Amherst, NY and a listed phone number of (716) 636-1470.
Profile Overview
- NPI
- 1386835783
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- August 09, 2007
- Last Updated
- August 10, 2012
Practice Location
- 8750 Transit RD
- Suite 105
- East Amherst, NY 14051-2610
Phone: (716) 636-1470
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1386835783
- Entity Type
- Individual
- Last Name
- Gillezeau
- First Name
- Beth
- Middle Name
- A
- Credential
- PA
- Mailing Street Address
- 8750 Transit RD
- Mailing Address Line 2
- Suite 105
- Mailing City
- East Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14051-2610
- Mailing Country
- US
- Mailing Phone
- (716) 636-1470
- Mailing Fax
- (716) 636-1423
- Practice Street Address
- 8750 Transit RD
- Practice Address Line 2
- Suite 105
- Practice City
- East Amherst
- Practice State
- NY
- Practice ZIP Code
- 14051-2610
- Practice Country
- US
- Practice Phone
- (716) 636-1470
- Practice Fax
- (716) 636-1423
- Enumeration Date
- August 09, 2007
- Last Updated
- August 10, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)
- Other Identifiers
- 011994 (NY, License)