National Provider Identifier
Stephanie T. Damodar, P.A.
Stephanie T. Damodar, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 725-1654.
Profile Overview
- NPI
- 1790864148
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 06, 2006
- Last Updated
- December 28, 2020
Practice Location
- 565 Abbott RD
- Buffalo, NY 14220-2039
Phone: (716) 725-1654
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1790864148
- Entity Type
- Individual
- Last Name
- Damodar
- First Name
- Stephanie
- Middle Name
- T.
- Credential
- P.A.
- Mailing Street Address
- 565 Abbott RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14220-2039
- Mailing Country
- US
- Mailing Phone
- (716) 725-1654
- Practice Street Address
- 565 Abbott RD
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14220-2039
- Practice Country
- US
- Practice Phone
- (716) 725-1654
- Enumeration Date
- November 06, 2006
- Last Updated
- December 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- December 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)