National Provider Identifier
Tara Louise Edmiston, PA
Tara Louise Edmiston, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Olean, NY and a listed phone number of (716) 817-2938.
Profile Overview
- NPI
- 1396945374
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 19, 2007
- Last Updated
- July 19, 2007
Practice Location
- 515 Main St
- Olean, NY 14760-1513
Phone: (716) 817-2938
Mailing Address
- PO Box 3398
- Buffalo, NY 14240-3398
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1396945374
- Entity Type
- Individual
- Last Name
- Edmiston
- First Name
- Tara
- Middle Name
- Louise
- Credential
- PA
- Mailing Street Address
- PO Box 3398
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-3398
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 515 Main St
- Practice City
- Olean
- Practice State
- NY
- Practice ZIP Code
- 14760-1513
- Practice Country
- US
- Practice Phone
- (716) 817-2938
- Practice Fax
- (716) 692-4342
- Enumeration Date
- July 19, 2007
- Last Updated
- July 19, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)