National Provider Identifier
Kelly Pasiecznik
Kelly Pasiecznik is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-1102.
Profile Overview
- NPI
- 1538482518
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- March 05, 2010
- Last Updated
- October 08, 2012
Practice Location
- 325 Essjay RD
- Williamsville, NY 14221-8243
Phone: (716) 630-1102
Mailing Address
- 6255 Sheridan Dr
- Suite 304
- Williamsville, NY 14221-4836
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1538482518
- Entity Type
- Individual
- Last Name
- Pasiecznik
- First Name
- Kelly
- Mailing Street Address
- 6255 Sheridan Dr
- Mailing Address Line 2
- Suite 304
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4836
- Mailing Country
- US
- Mailing Phone
- (716) 857-8666
- Mailing Fax
- (716) 630-1054
- Practice Street Address
- 325 Essjay RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-8243
- Practice Country
- US
- Practice Phone
- (716) 630-1102
- Practice Fax
- (716) 633-6507
- Enumeration Date
- March 05, 2010
- Last Updated
- October 08, 2012
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 000506570003 (NY, Blue Cross Blue Shield), 1301314 (Independent Health), 441242008 (NY, Rmc), 000506570003 (NY, Community Blue), 16-1166492 (NY, Empire), 16-1166492 (Ghi), 16-1166492 (NY, United Health Care), 040426001454 (Fidelis), CPS/120905-5 (NY, Compensation)