National Provider Identifier

Megan Ezzo Laurienzo, PA

Megan Ezzo Laurienzo, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 568-3600.

NPI 1740620111Williamsville, NYPhysician Assistant

Profile Overview

NPI
1740620111
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
July 01, 2013
Last Updated
February 12, 2015

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3647

Phone: (716) 568-3600

Mailing Address

  • 275 Northpointe Pkwy
  • Suite 50
  • Amherst, NY 14228-1895

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1740620111
Entity Type
Individual
Last Name
Laurienzo
First Name
Megan
Middle Name
Ezzo
Credential
PA
Mailing Street Address
275 Northpointe Pkwy
Mailing Address Line 2
Suite 50
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1895
Mailing Country
US
Mailing Phone
(716) 834-1191
Mailing Fax
(716) 639-1382
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3647
Practice Country
US
Practice Phone
(716) 568-3600
Enumeration Date
July 01, 2013
Last Updated
February 12, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)