National Provider Identifier

Tara Haynes-Herbert, PA-C

Tara Haynes-Herbert, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in West Seneca, NY and a listed phone number of (716) 712-0890.

NPI 1659797447West Seneca, NYPhysician Assistant

Profile Overview

NPI
1659797447
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
March 17, 2014
Last Updated
February 14, 2018

Practice Location

  • 3775 Seneca St
  • West Seneca, NY 14224-3434

Phone: (716) 712-0890

Mailing Address

  • 100 High St
  • Buffalo, NY 14203

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1659797447
Entity Type
Individual
Last Name
Haynes-Herbert
First Name
Tara
Name Prefix
Mrs.
Credential
PA-C
Mailing Street Address
100 High St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203
Mailing Country
US
Mailing Phone
(716) 218-1000
Practice Street Address
3775 Seneca St
Practice City
West Seneca
Practice State
NY
Practice ZIP Code
14224-3434
Practice Country
US
Practice Phone
(716) 712-0890
Practice Fax
(716) 712-0933
Enumeration Date
March 17, 2014
Last Updated
February 14, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)