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Alicia R Bommersbach, PHYSICIANASSISTANT
Medical Physician Assistant in Williamsville, New York
NPI 1245244516

Alicia R Bommersbach is a Medical Physician Assistant based in Williamsville, NY and is specialized in Medical. Alicia R Bommersbach practices in Williamsville, NY and has the professional credentials of PHYSICIANASSISTANT. The NPI Number for Alicia R Bommersbach is 1245244516 and holds a License No. 011319 (New York).

The current practice location address for Alicia R Bommersbach is 295 Essjay Rd, Williamsville, NY and can be reached out via phone at 716-630-1022 and via fax at 716-250-5958.

Location: 295 Essjay Rd, Williamsville, NY, 14221-4836
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Provider Profile Details
NPI Number
1245244516
Provider Name
Alicia R Bommersbach
Credential
PHYSICIANASSISTANT
Provider Entity Type
Individual
Gender
Female
Address
295 Essjay Rd, Williamsville, NY, 14221-4836
Phone Number
716-630-1022
Fax Number
716-250-5958
Provider Enumeration Date
07/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000528705001 01 NY HEALTH NOW
9513979 01 NY INDEPENDENT HEALTH
00027739701 01 NY UNIVERA
02808822 05 NY
institution
Provider Business Practice Location Address Details
Address
295 Essjay Rd
City
State
Zip
14221-8216
Phone Number
716-630-1022
Fax Number
716-250-5958
person
Provider Business Mailing Address Details
Address
295 Essjay Rd
City
State
Zip
14221-8216
Phone Number
716-630-1022
Fax Number
716-250-5958
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
011319 (New York)
Definition
Definition to come...
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