National Provider Identifier

Nathan Sedlacek

Nathan Sedlacek is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 859-3508.

NPI 1790473742Buffalo, NYPhysician Assistant

Profile Overview

NPI
1790473742
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 27, 2023
Last Updated
April 27, 2023

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 859-3508

Mailing Address

  • 10 Meadowbrook Dr
  • Elma, NY 14059-9524

Specialties

  • Physician Assistant (363A00000X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1790473742
Entity Type
Individual
Last Name
Sedlacek
First Name
Nathan
Name Prefix
Mr.
Mailing Street Address
10 Meadowbrook Dr
Mailing City
Elma
Mailing State
NY
Mailing ZIP Code
14059-9524
Mailing Country
US
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 859-3508
Enumeration Date
April 27, 2023
Last Updated
April 27, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 26, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Medical Physician Assistant (363AM0700X)