National Provider Identifier
Thomas Richard Siudzinski, PA-C
Thomas Richard Siudzinski, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 852-4772.
Profile Overview
- NPI
- 1912436965
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- June 05, 2017
- Last Updated
- June 05, 2017
Practice Location
- 100 High St
- Buffalo, NY 14203-1126
Phone: (716) 852-4772
Mailing Address
- 12634 North RD
- Alden, NY 14004-9771
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1912436965
- Entity Type
- Individual
- Last Name
- Siudzinski
- First Name
- Thomas
- Middle Name
- Richard
- Credential
- PA-C
- Mailing Street Address
- 12634 North RD
- Mailing City
- Alden
- Mailing State
- NY
- Mailing ZIP Code
- 14004-9771
- Mailing Country
- US
- Mailing Phone
- (716) 913-7148
- Practice Street Address
- 100 High St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14203-1126
- Practice Country
- US
- Practice Phone
- (716) 852-4772
- Enumeration Date
- June 05, 2017
- Last Updated
- June 05, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)