National Provider Identifier

Janel B Laraba, PHYSICIAN ASSISTANT

Janel B Laraba, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Physician Assistant in Williamsville, NY and a listed phone number of (716) 630-1167.

NPI 1952319725Williamsville, NYPhysician Assistant

Profile Overview

NPI
1952319725
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
August 04, 2006
Last Updated
November 06, 2018

Practice Location

  • 325 Essjay RD
  • Williamsville, NY 14221-8243

Phone: (716) 630-1167

Mailing Address

  • 425 Essjay RD Ste 170
  • Williamsville, NY 14221-5782

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1952319725
Entity Type
Individual
Last Name
Laraba
First Name
Janel
Middle Name
B
Credential
PHYSICIAN ASSISTANT
Mailing Street Address
425 Essjay RD Ste 170
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-5782
Mailing Country
US
Mailing Phone
(716) 630-1219
Practice Street Address
325 Essjay RD
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8243
Practice Country
US
Practice Phone
(716) 630-1167
Practice Fax
(716) 250-5960
Enumeration Date
August 04, 2006
Last Updated
November 06, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)
Other Identifiers
00026520301 (NY, Univera), 9512302 (NY, Iha), 000570189003 (NY, Health Now), 01994403 (NY), 161000580 (NY, Nova), 970012314 (NY, Rr Medicare)