National Provider Identifier

Beverly A Close, PA

Beverly A Close, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Buffalo, NY and a listed phone number of (716) 845-2300.

NPI 1932174729Buffalo, NYPhysician Assistant

Profile Overview

NPI
1932174729
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
February 23, 2006
Last Updated
July 08, 2019

Practice Location

  • Elm And Carlton St
  • Buffalo, NY 14263-0001

Phone: (716) 845-2300

Mailing Address

  • Elm And Carlton Streets
  • Buffalo, NY 14263-0001

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1932174729
Entity Type
Individual
Last Name
Close
First Name
Beverly
Middle Name
A
Credential
PA
Mailing Street Address
Elm And Carlton Streets
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14263-0001
Mailing Country
US
Mailing Phone
(716) 845-2300
Mailing Fax
(716) 845-1110
Practice Street Address
Elm And Carlton St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14263-0001
Practice Country
US
Practice Phone
(716) 845-2300
Practice Fax
(716) 845-1110
Enumeration Date
February 23, 2006
Last Updated
July 08, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
02507239 (NY)