National Provider Identifier
Trevor Deraney, PA-C
Trevor Deraney, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 248-1420.
Profile Overview
- NPI
- 1700055068
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- February 20, 2008
- Last Updated
- March 15, 2019
Practice Location
- 237 Linwood Ave
- Buffalo, NY 14209-2009
Phone: (716) 248-1420
Mailing Address
- PO Box 488
- Buffalo, NY 14240-0488
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1700055068
- Entity Type
- Individual
- Last Name
- Deraney
- First Name
- Trevor
- Name Prefix
- Mr.
- Credential
- PA-C
- Mailing Street Address
- PO Box 488
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14240-0488
- Mailing Country
- US
- Mailing Phone
- (203) 944-1940
- Mailing Fax
- (203) 402-4192
- Practice Street Address
- 237 Linwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2009
- Practice Country
- US
- Practice Phone
- (716) 248-1420
- Practice Fax
- (716) 248-2026
- Enumeration Date
- February 20, 2008
- Last Updated
- March 15, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 020626400 (FL), 03217214 (NY)