National Provider Identifier
Julia Rose Brundin, PA-C
Julia Rose Brundin, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 706-2112.
Profile Overview
- NPI
- 1598500324
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 25, 2024
- Last Updated
- June 25, 2024
Practice Location
- 565 Abbott RD
- Buffalo, NY 14220-2039
Phone: (716) 706-2112
Mailing Address
- 85 Meadow Ln
- Buffalo, NY 14223-1310
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1598500324
- Entity Type
- Individual
- Last Name
- Brundin
- First Name
- Julia
- Middle Name
- Rose
- Credential
- PA-C
- Mailing Street Address
- 85 Meadow Ln
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-1310
- Mailing Country
- US
- Mailing Phone
- (716) 432-9794
- Practice Street Address
- 565 Abbott RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2039
- Practice Country
- US
- Practice Phone
- (716) 706-2112
- Enumeration Date
- June 25, 2024
- Last Updated
- June 25, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)