National Provider Identifier
Andrew Craig Peterson, RPA-C
Andrew Craig Peterson, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1700040672
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 10, 2008
- Last Updated
- March 16, 2016
Practice Location
- 5959 Big Tree RD
- Suite 108
- Orchard Park, NY 14127-2291
Phone: (716) 204-3200
Mailing Address
- 5500 Main St
- Suite 107
- Williamsville, NY 14221-6755
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1700040672
- Entity Type
- Individual
- Last Name
- Peterson
- First Name
- Andrew
- Middle Name
- Craig
- Name Prefix
- Mr.
- Credential
- RPA-C
- Mailing Street Address
- 5500 Main St
- Mailing Address Line 2
- Suite 107
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-6755
- Mailing Country
- US
- Mailing Phone
- (716) 204-3200
- Mailing Fax
- (716) 829-2138
- Practice Street Address
- 5959 Big Tree RD
- Practice Address Line 2
- Suite 108
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2291
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Practice Fax
- (716) 829-2138
- Enumeration Date
- July 10, 2008
- Last Updated
- March 16, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)