National Provider Identifier

Tara Brewer, P.A.

Tara Brewer, P.A. is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in East Aurora, NY and a listed phone number of (716) 805-1072.

NPI 1881604098East Aurora, NYMedical Physician Assistant

Profile Overview

NPI
1881604098
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
August 09, 2006
Last Updated
March 11, 2011

Practice Location

  • 112 Olean St
  • Suite 220
  • East Aurora, NY 14052-2540

Phone: (716) 805-1072

Specialties

  • Medical Physician Assistant (363AM0700X)
  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1881604098
Entity Type
Individual
Last Name
Brewer
First Name
Tara
Credential
P.A.
Mailing Street Address
112 Olean St
Mailing Address Line 2
Suite 220
Mailing City
East Aurora
Mailing State
NY
Mailing ZIP Code
14052-2540
Mailing Country
US
Mailing Phone
(716) 805-1072
Mailing Fax
(716) 805-1073
Practice Street Address
112 Olean St
Practice Address Line 2
Suite 220
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-2540
Practice Country
US
Practice Phone
(716) 805-1072
Practice Fax
(716) 805-1073
Enumeration Date
August 09, 2006
Last Updated
March 11, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X), Medical Physician Assistant (363AM0700X)