Doctor Name: | BARBARA Y WHITESIDE |
NPI Number: | 1013933597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 011281 |
Business Practice Address: | 3345 Southwestern Blvd Orchard Park, NY - 141271506 |
Business Phone Number: | 7166564804 |
Business Fax Number: | 7162505933 |
Mailing Address: | 6255 Sheridan Dr, Suite 304 WILLIAMSVILLE |
State: | NY |
Postal Code: | 142214836 |
Phone Number: | 7168578666 |
Fax Number: | 7166301054 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 08/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 011281 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |