National Provider Identifier

Haley Joanne Funderburk, PA-C

Haley Joanne Funderburk, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Amherst, NY and a listed phone number of (716) 836-3300.

NPI 1588450373Amherst, NYPhysician Assistant

Profile Overview

NPI
1588450373
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 17, 2025
Last Updated
April 17, 2025

Practice Location

  • 605 Grover Cleveland Hwy
  • Amherst, NY 14226-2925

Phone: (716) 836-3300

Mailing Address

  • 2890 Niagara Falls Blvd
  • North Tonawanda, NY 14120-1114

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1588450373
Entity Type
Individual
Last Name
Funderburk
First Name
Haley
Middle Name
Joanne
Credential
PA-C
Mailing Street Address
2890 Niagara Falls Blvd
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-1114
Mailing Country
US
Mailing Phone
(716) 807-7337
Mailing Fax
(716) 213-4400
Practice Street Address
605 Grover Cleveland Hwy
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-2925
Practice Country
US
Practice Phone
(716) 836-3300
Practice Fax
(716) 836-4640
Enumeration Date
April 17, 2025
Last Updated
April 17, 2025
Sex
Female
Sole Proprietor
No
Certification Date
April 17, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)