National Provider Identifier

Jessica Marie Beck, PA

Jessica Marie Beck, 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.

NPI 1457517674East Amherst, NYSurgical Physician Assistant

Profile Overview

NPI
1457517674
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
August 07, 2008
Last Updated
July 16, 2013

Practice Location

  • 8750 Transit RD
  • Suite 105
  • East Amherst, NY 14051-2610

Phone: (716) 636-1470

Mailing Address

  • 36 N Union RD
  • Williamsville, NY 14221-5383

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1457517674
Entity Type
Individual
Last Name
Beck
First Name
Jessica
Middle Name
Marie
Credential
PA
Provider Other Last Name
Parezo
Provider Other First Name
Jessica
Provider Other Middle Name
Marie
Provider Other Credential Text
PA
Provider Other Last Name Type Code
1
Mailing Street Address
36 N Union RD
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5383
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 07, 2008
Last Updated
July 16, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)
Other Identifiers
012649-1 (NY, License)