National Provider Identifier
Elena M Hierseman, PA-C
Elena M Hierseman, 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) 995-4450.
Profile Overview
- NPI
- 1780934091
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 13, 2012
- Last Updated
- March 07, 2023
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1351
Phone: (716) 995-4450
Mailing Address
- 201 Cox Blvd
- Goldsboro, NC 27534-9479
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1780934091
- Entity Type
- Individual
- Last Name
- Hierseman
- First Name
- Elena
- Middle Name
- M
- Credential
- PA-C
- Mailing Street Address
- 201 Cox Blvd
- Mailing City
- Goldsboro
- Mailing State
- NC
- Mailing ZIP Code
- 27534-9479
- Mailing Country
- US
- Mailing Phone
- (919) 735-7580
- Mailing Fax
- (919) 580-9338
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1351
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- September 13, 2012
- Last Updated
- March 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)
- Other Identifiers
- 8102812 (NC), 1780934091 (NC, BCBS)