National Provider Identifier
Marydonna Anderson, P.A.
Marydonna Anderson, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 447-6202.
Profile Overview
- NPI
- 1518946789
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 16, 2006
- Last Updated
- April 09, 2024
Practice Location
- 2950 Elmwood Ave
- Kenmore, NY 14217-1304
Phone: (716) 447-6202
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1518946789
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Marydonna
- Credential
- P.A.
- Mailing Street Address
- 2950 Elmwood Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-1304
- Mailing Country
- US
- Mailing Phone
- (716) 447-6202
- Mailing Fax
- (716) 857-8944
- Practice Street Address
- 2950 Elmwood Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1304
- Practice Country
- US
- Practice Phone
- (716) 447-6202
- Practice Fax
- (716) 447-6202
- Enumeration Date
- January 16, 2006
- Last Updated
- April 09, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 09, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 01929304 (NY)