National Provider Identifier

Tammy Bernadette Ervolina-Kroll, RPA-C

Tammy Bernadette Ervolina-Kroll, RPA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 580-1813.

NPI 1801852777Williamsville, NYPhysician Assistant

Profile Overview

NPI
1801852777
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
April 21, 2006
Last Updated
December 23, 2011

Practice Location

  • 1540 Maple RD
  • Williamsville, NY 14221-3647

Phone: (716) 580-1813

Mailing Address

  • 2273 W River RD
  • Grand Island, NY 14072-2056

Specialties

  • Physician Assistant (363A00000X)
  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1801852777
Entity Type
Individual
Last Name
Ervolina-Kroll
First Name
Tammy
Middle Name
Bernadette
Name Prefix
Mrs.
Credential
RPA-C
Mailing Street Address
2273 W River RD
Mailing City
Grand Island
Mailing State
NY
Mailing ZIP Code
14072-2056
Mailing Country
US
Mailing Phone
(716) 774-1356
Practice Street Address
1540 Maple RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-3647
Practice Country
US
Practice Phone
(716) 580-1813
Practice Fax
(716) 564-1134
Enumeration Date
April 21, 2006
Last Updated
December 23, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X), Surgical Physician Assistant (363AS0400X)
Other Identifiers
02073210 (NY)