National Provider Identifier
Mary Kathleen Betz, P.A.
Mary Kathleen Betz, P.A. is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 995-4450.
Profile Overview
- NPI
- 1922161322
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- December 18, 2006
- Last Updated
- July 23, 2020
Practice Location
- Landmark Health
- 701 Seneca St Suite 646
- Buffalo, NY 14210
Phone: (716) 995-4450
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1922161322
- Entity Type
- Individual
- Last Name
- Betz
- First Name
- Mary
- Middle Name
- Kathleen
- Credential
- P.A.
- Provider Other Last Name
- Betz
- Provider Other First Name
- Mary
- Provider Other Middle Name
- Kay
- Provider Other Credential Text
- P.A.
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- Landmark Health
- Mailing Address Line 2
- 701 Seneca St Suite 646
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210
- Mailing Country
- US
- Mailing Phone
- (716) 995-4450
- Practice Street Address
- Landmark Health
- Practice Address Line 2
- 701 Seneca St Suite 646
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- December 18, 2006
- Last Updated
- July 23, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 23, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)
- Other Identifiers
- 00026554701 (NY, Univera), 000570245003 (NY, Blue Cross & Blue Shield), 000570245004 (NY, Blue Cross & Blue Shield), 9512248 (NY, Independent Health)