National Provider Identifier
Mark Peter Eberhard, PA
Mark Peter Eberhard, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 662-7008.
Profile Overview
- NPI
- 1760945877
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- April 08, 2019
- Last Updated
- April 08, 2019
Practice Location
- 3671 Southwestern Blvd Ste 101
- Orchard Park, NY 14127-1749
Phone: (716) 662-7008
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1760945877
- Entity Type
- Individual
- Last Name
- Eberhard
- First Name
- Mark
- Middle Name
- Peter
- Credential
- PA
- Mailing Street Address
- 3671 Southwestern Blvd Ste 101
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-1749
- Mailing Country
- US
- Mailing Phone
- (716) 662-7008
- Mailing Fax
- (716) 662-5226
- Practice Street Address
- 3671 Southwestern Blvd Ste 101
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-1749
- Practice Country
- US
- Practice Phone
- (716) 662-7008
- Practice Fax
- (716) 662-5226
- Enumeration Date
- April 08, 2019
- Last Updated
- April 08, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 023400 (NY, License)