National Provider Identifier

Gust P Verleni, PA

Gust P Verleni, PA is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Jamestown, NY and a listed phone number of (716) 661-1583.

NPI 1811988801Jamestown, NYMedical Physician Assistant

Profile Overview

NPI
1811988801
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
October 31, 2005
Last Updated
June 17, 2008

Practice Location

  • 890 E Second St
  • Jamestown, NY 14701

Phone: (716) 661-1583

Mailing Address

  • 880 E Second St
  • Jamestown, NY 14701

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Physician Assistant (363A00000X)
Full Record
NPI
1811988801
Entity Type
Individual
Last Name
Verleni
First Name
Gust
Middle Name
P
Credential
PA
Mailing Street Address
880 E Second St
Mailing City
Jamestown
Mailing State
NY
Mailing ZIP Code
14701
Mailing Country
US
Mailing Phone
(716) 661-1583
Practice Street Address
890 E Second St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701
Practice Country
US
Practice Phone
(716) 661-1583
Enumeration Date
October 31, 2005
Last Updated
June 17, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Physician Assistant (363A00000X)
Other Identifiers
02341977 (NY)