National Provider Identifier
Alyssa Weaver, PA-C
Alyssa Weaver, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in North Tonawanda, NY and a listed phone number of (716) 690-2001.
Profile Overview
- NPI
- 1841911039
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- September 07, 2022
- Last Updated
- October 25, 2022
Practice Location
- 43 Niagara St
- North Tonawanda, NY 14120-6115
Phone: (716) 690-2001
Specialties
- Physician Assistant (363A00000X)
Endpoints
- alyssaweaver@canalsideprimary.medentdirect.com
Direct Messaging Address | Direct | North Tonawanda, NY 14120
Email Address
Full Record
- NPI
- 1841911039
- Entity Type
- Individual
- Last Name
- Weaver
- First Name
- Alyssa
- Credential
- PA-C
- Mailing Street Address
- 43 Niagara St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-6115
- Mailing Country
- US
- Mailing Phone
- (585) 297-9962
- Practice Street Address
- 43 Niagara St
- Practice City
- North Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14120-6115
- Practice Country
- US
- Practice Phone
- (716) 690-2001
- Practice Fax
- (716) 690-2239
- Enumeration Date
- September 07, 2022
- Last Updated
- October 25, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 20, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)