National Provider Identifier

Donald G Busse Jr., RPA-C

Donald G Busse Jr., RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Kenmore, NY and a listed phone number of (716) 204-4500.

NPI 1689989907Kenmore, NYPhysician Assistant

Profile Overview

NPI
1689989907
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 11, 2010
Last Updated
August 11, 2010

Practice Location

  • 2950 Elmwood Ave
  • Kenmore, NY 14217-1304

Phone: (716) 204-4500

Mailing Address

  • 1 John James Audubon Pkwy
  • Amherst, NY 14228-1145

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1689989907
Entity Type
Individual
Last Name
Busse
First Name
Donald
Middle Name
G
Name Prefix
Mr.
Name Suffix
Jr.
Credential
RPA-C
Mailing Street Address
1 John James Audubon Pkwy
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1145
Mailing Country
US
Mailing Phone
(716) 204-4500
Mailing Fax
(716) 204-4501
Practice Street Address
2950 Elmwood Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1304
Practice Country
US
Practice Phone
(716) 204-4500
Practice Fax
(716) 204-4501
Enumeration Date
August 11, 2010
Last Updated
August 11, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)