National Provider Identifier
Andrea Marie Donovan, PA-C
Andrea Marie Donovan, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-5600.
Profile Overview
- NPI
- 1689242109
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- June 11, 2021
- Last Updated
- June 11, 2021
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 859-5600
Mailing Address
- 142 Saranac Ave Apt 11
- Buffalo, NY 14216-2449
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1689242109
- Entity Type
- Individual
- Last Name
- Donovan
- First Name
- Andrea
- Middle Name
- Marie
- Name Prefix
- Miss
- Credential
- PA-C
- Mailing Street Address
- 142 Saranac Ave Apt 11
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14216-2449
- Mailing Country
- US
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 859-5600
- Enumeration Date
- June 11, 2021
- Last Updated
- June 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- June 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)