National Provider Identifier

Jessica Castro Schoenhals, PA-C

Jessica Castro Schoenhals, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 636-7979.

NPI 1407215247Williamsville, NYPhysician Assistant

Profile Overview

NPI
1407215247
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 22, 2016
Last Updated
May 28, 2021

Practice Location

  • 1150 Youngs RD Ste 104
  • Williamsville, NY 14221-8096

Phone: (716) 636-7979

Mailing Address

  • 1150 Youngs RD
  • Ste 104
  • Williamsville, NY 14221-8024

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1407215247
Entity Type
Individual
Last Name
Schoenhals
First Name
Jessica
Middle Name
Castro
Name Prefix
MS.
Credential
PA-C
Mailing Street Address
1150 Youngs RD
Mailing Address Line 2
Ste 104
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8024
Mailing Country
US
Mailing Phone
(716) 636-7979
Mailing Fax
(716) 636-7993
Practice Street Address
1150 Youngs RD Ste 104
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8096
Practice Country
US
Practice Phone
(716) 636-7979
Practice Fax
(716) 929-0192
Enumeration Date
February 22, 2016
Last Updated
May 28, 2021
Sex
Female
Sole Proprietor
No
Certification Date
May 28, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
019536 (NY, Nys License)