National Provider Identifier

Brian M Rafferty, RPA-C

Brian M Rafferty, RPA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Cheektowaga, NY and a listed phone number of (716) 395-2043.

NPI 1790963478Cheektowaga, NYMedical Physician Assistant

Profile Overview

NPI
1790963478
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
February 05, 2008
Last Updated
January 04, 2023

Practice Location

  • 3450 Union RD
  • Cheektowaga, NY 14225-5120

Phone: (716) 395-2043

Mailing Address

  • 3450 Union RD Ny
  • Cheektowaga, NY 14225

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1790963478
Entity Type
Individual
Last Name
Rafferty
First Name
Brian
Middle Name
M
Name Prefix
Mr.
Credential
RPA-C
Mailing Street Address
3450 Union RD Ny
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225
Mailing Country
US
Mailing Phone
(716) 395-2043
Practice Street Address
3450 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-5120
Practice Country
US
Practice Phone
(716) 395-2043
Enumeration Date
February 05, 2008
Last Updated
January 04, 2023
Sex
Male
Sole Proprietor
No
Certification Date
January 03, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)