National Provider Identifier
Deborah Ann Maciolek, P.A.
Deborah Ann Maciolek, P.A. is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Buffalo, NY and a listed phone number of (716) 862-6063.
Profile Overview
- NPI
- 1639154818
- Provider Type
- Individual
- Primary Specialty
- Surgical Physician Assistant
- Enumeration Date
- December 12, 2005
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-6063
Mailing Address
- 422 Evergreen Dr
- Tonawanda, NY 14150-5536
Specialties
- Surgical Physician Assistant (363AS0400X)
Full Record
- NPI
- 1639154818
- Entity Type
- Individual
- Last Name
- Maciolek
- First Name
- Deborah
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- P.A.
- Mailing Street Address
- 422 Evergreen Dr
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14150-5536
- Mailing Country
- US
- Mailing Phone
- (716) 862-6063
- Mailing Fax
- (716) 862-8600
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6063
- Practice Fax
- (716) 862-8600
- Enumeration Date
- December 12, 2005
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Surgical Physician Assistant (363AS0400X)