National Provider Identifier
Michael Jason Bubar, PHYSICIAN ASSISTANT
Michael Jason Bubar, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 862-6001.
Profile Overview
- NPI
- 1851581797
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- July 26, 2007
- Last Updated
- July 26, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-6001
Mailing Address
- 209 Cherry St
- Wilson, NY 14172-9503
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1851581797
- Entity Type
- Individual
- Last Name
- Bubar
- First Name
- Michael
- Middle Name
- Jason
- Name Prefix
- Mr.
- Credential
- PHYSICIAN ASSISTANT
- Mailing Street Address
- 209 Cherry St
- Mailing City
- Wilson
- Mailing State
- NY
- Mailing ZIP Code
- 14172-9503
- Mailing Country
- US
- Mailing Phone
- (716) 751-0152
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6001
- Enumeration Date
- July 26, 2007
- Last Updated
- July 26, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)