National Provider Identifier

Kiersten Leigh Habdo, PA-C

Kiersten Leigh Habdo, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Williamsville, NY and a listed phone number of (716) 884-3000.

NPI 1619493780Williamsville, NYMedical Physician Assistant

Profile Overview

NPI
1619493780
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
August 20, 2017
Last Updated
March 19, 2025

Practice Location

  • 45 Spindrift Dr
  • Williamsville, NY 14221-7889

Phone: (716) 884-3000

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1619493780
Entity Type
Individual
Last Name
Habdo
First Name
Kiersten
Middle Name
Leigh
Credential
PA-C
Mailing Street Address
45 Spindrift Dr
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-7889
Mailing Country
US
Mailing Phone
(716) 884-3000
Mailing Fax
(716) 422-5420
Practice Street Address
45 Spindrift Dr
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-7889
Practice Country
US
Practice Phone
(716) 884-3000
Enumeration Date
August 20, 2017
Last Updated
March 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
March 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)