National Provider Identifier

Caitlyn Elizabeth Roberts, PA

Caitlyn Elizabeth Roberts, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 204-3200.

NPI 1457996357Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1457996357
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
November 14, 2019
Last Updated
November 14, 2019

Practice Location

  • 5959 Big Tree RD Ste 108
  • Orchard Park, NY 14127-2291

Phone: (716) 204-3200

Mailing Address

  • 4225 Genesee St
  • Cheektowaga, NY 14225-1994

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1457996357
Entity Type
Individual
Last Name
Roberts
First Name
Caitlyn
Middle Name
Elizabeth
Credential
PA
Mailing Street Address
4225 Genesee St
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1994
Mailing Country
US
Mailing Phone
(716) 204-3200
Practice Street Address
5959 Big Tree RD Ste 108
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 204-3200
Enumeration Date
November 14, 2019
Last Updated
November 14, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
024440 (NY, Nys Office Of Professions)