National Provider Identifier
Jared Martin, PA
Jared Martin, PA 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
- 1962623991
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- May 01, 2007
- Last Updated
- October 24, 2019
Practice Location
- 701 Seneca St Ste 646C
- Buffalo, NY 14210-1351
Phone: (716) 995-4450
Mailing Address
- 651 Delaware Ave
- Buffalo, NY 14202-1001
Specialties
- Physician Assistant (363A00000X)
Full Record
- NPI
- 1962623991
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Jared
- Name Prefix
- Mr.
- Credential
- PA
- Mailing Street Address
- 651 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-1001
- Mailing Country
- US
- Mailing Phone
- (716) 362-9730
- Mailing Fax
- (716) 362-9729
- Practice Street Address
- 701 Seneca St Ste 646C
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1351
- Practice Country
- US
- Practice Phone
- (716) 995-4450
- Enumeration Date
- May 01, 2007
- Last Updated
- October 24, 2019
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physician Assistant (363A00000X)