Individual
ANDREA WINCOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
40 GEORGE KARL BLVD, WILLIAMSVILLE, NY 14221-7183
(716) 218-1000
Mailing address
PO BOX 8000 DEPT 883, BUFFALO, NY 14267-0001
(716) 218-1000
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023581
NYS LICENSE
NY
Enumeration date
06/26/2019
Last updated
08/06/2024
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