National Provider Identifier

Alyssa Ciancio, PA

Alyssa Ciancio, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Orchard Park, NY and a listed phone number of (716) 260-1593.

NPI 1962018259Orchard Park, NYPhysician Assistant

Profile Overview

NPI
1962018259
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
September 22, 2020
Last Updated
November 15, 2021

Practice Location

  • 5959 Big Tree RD Ste 107
  • Orchard Park, NY 14127-2291

Phone: (716) 260-1593

Mailing Address

  • PO Box 488
  • Buffalo, NY 14240-0488

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1962018259
Entity Type
Individual
Last Name
Ciancio
First Name
Alyssa
Credential
PA
Mailing Street Address
PO Box 488
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14240-0488
Mailing Country
US
Mailing Phone
(866) 853-9551
Practice Street Address
5959 Big Tree RD Ste 107
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-2291
Practice Country
US
Practice Phone
(716) 260-1593
Enumeration Date
September 22, 2020
Last Updated
November 15, 2021
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193200000X Multi-Specialty Group
Certification Date
November 15, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)