National Provider Identifier

Andrea Marie Tallides, RPA-C

Andrea Marie Tallides, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 862-6014.

NPI 1518921410Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1518921410
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
April 17, 2006
Last Updated
July 08, 2007

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 862-6014

Mailing Address

  • 317 Getzville RD
  • Amherst, NY 14226-2514

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1518921410
Entity Type
Individual
Last Name
Tallides
First Name
Andrea
Middle Name
Marie
Name Prefix
Mrs.
Credential
RPA-C
Provider Other Last Name
Aubry
Provider Other First Name
Andrea
Provider Other Middle Name
Marie
Provider Other Name Prefix Text
MS.
Provider Other Credential Text
RPA-C
Provider Other Last Name Type Code
1
Mailing Street Address
317 Getzville RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-2514
Mailing Country
US
Mailing Phone
(716) 839-0631
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 862-6014
Enumeration Date
April 17, 2006
Last Updated
July 08, 2007
Sex
Female
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)