National Provider Identifier
Casey Pettit, PA
Casey Pettit, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 668-7051.
Profile Overview
- NPI
- 1821368291
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- January 03, 2012
- Last Updated
- July 18, 2019
Practice Location
- 608 William St
- Buffalo, NY 14206-1649
Phone: (716) 668-7051
Specialties
- Physician Assistant (363A00000X)
- Physician Assistant (363A00000X)
Endpoints
- Casey.Pettit@erie.gov
Direct Messaging Address | Buffalo, NY 14206
Full Record
- NPI
- 1821368291
- Entity Type
- Individual
- Last Name
- Pettit
- First Name
- Casey
- Credential
- PA
- Mailing Street Address
- 608 William St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1649
- Mailing Country
- US
- Mailing Phone
- (716) 858-8026
- Practice Street Address
- 608 William St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14206-1649
- Practice Country
- US
- Practice Phone
- (716) 668-7051
- Practice Fax
- (716) 668-7069
- Enumeration Date
- January 03, 2012
- Last Updated
- July 18, 2019
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X), Physician Assistant (363A00000X)