National Provider Identifier

Jason Daniel Fabianski, R.P.A.-C.

Jason Daniel Fabianski, R.P.A.-C. is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant in Orchard Park, NY and a listed phone number of (716) 854-5700.

NPI 1851331839Orchard Park, NYSurgical Physician Assistant

Profile Overview

NPI
1851331839
Provider Type
Individual
Primary Specialty
Surgical Physician Assistant
Enumeration Date
June 07, 2006
Last Updated
April 14, 2021

Practice Location

  • 3810 Taylor RD
  • Orchard Park, NY 14127-2232

Phone: (716) 854-5700

Mailing Address

  • 700 Michigan Ave
  • Buffalo, NY 14203-1536

Specialties

  • Surgical Physician Assistant (363AS0400X)
Full Record
NPI
1851331839
Entity Type
Individual
Last Name
Fabianski
First Name
Jason
Middle Name
Daniel
Credential
R.P.A.-C.
Mailing Street Address
700 Michigan Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1536
Mailing Country
US
Mailing Phone
(716) 854-5700
Mailing Fax
(716) 854-5800
Practice Street Address
3810 Taylor RD
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2232
Practice Country
US
Practice Phone
(716) 854-5700
Practice Fax
(716) 677-6407
Enumeration Date
June 07, 2006
Last Updated
April 14, 2021
Sex
Male
Sole Proprietor
No
Certification Date
April 14, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgical Physician Assistant (363AS0400X)
Other Identifiers
000570176001 (NY, Blue Cross), 9512181 (NY, Independent Health), 01864846 (NY)