National Provider Identifier
Jacqueline Karstedt, PA-C
Jacqueline Karstedt, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Irving, NY and a listed phone number of (714) 934-4400.
Profile Overview
- NPI
- 1659865509
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 14, 2018
- Last Updated
- September 03, 2020
Practice Location
- 12657 Seneca RD
- Irving, NY 14081-9707
Phone: (714) 934-4400
Mailing Address
- 425 Essjay RD Ste 170
- Williamsville, NY 14221-8235
Specialties
- Medical Physician Assistant (363AM0700X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1659865509
- Entity Type
- Individual
- Last Name
- Karstedt
- First Name
- Jacqueline
- Credential
- PA-C
- Provider Other Last Name
- Raymond
- Provider Other First Name
- Jacqueline
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 425 Essjay RD Ste 170
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8235
- Mailing Country
- US
- Mailing Phone
- (716) 630-1219
- Mailing Fax
- (716) 817-1726
- Practice Street Address
- 12657 Seneca RD
- Practice City
- Irving
- Practice State
- NY
- Practice ZIP Code
- 14081-9707
- Practice Country
- US
- Practice Phone
- (714) 934-4400
- Enumeration Date
- June 14, 2018
- Last Updated
- September 03, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 03, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)