National Provider Identifier
Mary Eder, RPA-C
Mary Eder, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in West Seneca, NY and a listed phone number of (716) 712-0570.
Profile Overview
- NPI
- 1508081613
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- April 16, 2007
- Last Updated
- July 08, 2007
Practice Location
- 1900 Ridge RD
- West Seneca, NY 14224-3332
Phone: (716) 712-0570
Mailing Address
- 6805 Lake Shore RD
- Derby, NY 14047-9748
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1508081613
- Entity Type
- Individual
- Last Name
- Eder
- First Name
- Mary
- Credential
- RPA-C
- Mailing Street Address
- 6805 Lake Shore RD
- Mailing City
- Derby
- Mailing State
- NY
- Mailing ZIP Code
- 14047-9748
- Mailing Country
- US
- Mailing Phone
- (716) 947-5568
- Practice Street Address
- 1900 Ridge RD
- Practice City
- West Seneca
- Practice State
- NY
- Practice ZIP Code
- 14224-3332
- Practice Country
- US
- Practice Phone
- (716) 712-0570
- Enumeration Date
- April 16, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)