National Provider Identifier

Tera Michelle Ciesla, RPA-C

Tera Michelle Ciesla, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 878-7442.

NPI 1578658613Buffalo, NYPhysician Assistant

Profile Overview

NPI
1578658613
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
October 04, 2006
Last Updated
October 29, 2008

Practice Location

  • 219 Bryant St
  • Buffalo, NY 14222-2006

Phone: (716) 878-7442

Mailing Address

  • 4511 Harlem RD
  • Suite 202
  • Amherst, NY 14226-3822

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1578658613
Entity Type
Individual
Last Name
Ciesla
First Name
Tera
Middle Name
Michelle
Credential
RPA-C
Mailing Street Address
4511 Harlem RD
Mailing Address Line 2
Suite 202
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3822
Mailing Country
US
Mailing Phone
(716) 839-6720
Mailing Fax
(716) 839-6740
Practice Street Address
219 Bryant St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14222-2006
Practice Country
US
Practice Phone
(716) 878-7442
Practice Fax
(716) 878-7101
Enumeration Date
October 04, 2006
Last Updated
October 29, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
000570437002 (Bc/Bs), 9511829 (Iha), FIDELIS (050711000014), UNIVERA (00026559809), 02504589 (NY)