National Provider Identifier

Jaime Fetes, PA

Jaime Fetes, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Cheektowaga, NY and a listed phone number of (716) 844-5000.

NPI 1568627339Cheektowaga, NYMedical Physician Assistant

Profile Overview

NPI
1568627339
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
July 22, 2008
Last Updated
August 13, 2015

Practice Location

  • 3085 Harlem RD
  • Ste 200
  • Cheektowaga, NY 14225-2563

Phone: (716) 844-5000

Mailing Address

  • 3085 Harlem RD
  • Suite 350
  • Cheektowaga, NY 14225-2591

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1568627339
Entity Type
Individual
Last Name
Fetes
First Name
Jaime
Credential
PA
Mailing Street Address
3085 Harlem RD
Mailing Address Line 2
Suite 350
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-2591
Mailing Country
US
Mailing Phone
(716) 844-5500
Mailing Fax
(716) 844-5750
Practice Street Address
3085 Harlem RD
Practice Address Line 2
Ste 200
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-2563
Practice Country
US
Practice Phone
(716) 844-5000
Enumeration Date
July 22, 2008
Last Updated
August 13, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)
Other Identifiers
01417481 (NY), P00638154 (NY, Rr Medicare)