National Provider Identifier
Crystal Marie Ammerman
Crystal Marie Ammerman is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Orchard Park, NY and a listed phone number of (718) 667-1980.
Profile Overview
- NPI
- 1487882403
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- June 29, 2009
- Last Updated
- June 29, 2009
Practice Location
- 3775 Southwestern Blvd
- Suite A
- Orchard Park, NY 14127-2159
Phone: (718) 667-1980
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1487882403
- Entity Type
- Individual
- Last Name
- Ammerman
- First Name
- Crystal
- Middle Name
- Marie
- Name Prefix
- Miss
- Provider Other Last Name
- Ammerman
- Provider Other First Name
- Crystal
- Provider Other Credential Text
- RPA-C
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- 3775 Southwestern Blvd
- Mailing Address Line 2
- Suite A
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2159
- Mailing Country
- US
- Mailing Phone
- (718) 667-1980
- Mailing Fax
- (716) 667-1982
- Practice Street Address
- 3775 Southwestern Blvd
- Practice Address Line 2
- Suite A
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2159
- Practice Country
- US
- Practice Phone
- (718) 667-1980
- Practice Fax
- (716) 667-1982
- Enumeration Date
- June 29, 2009
- Last Updated
- June 29, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)