Individual
MR. ZACHARY W MINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
6000 BROCKTON DR, LOCKPORT, NY 14094-9273
(716) 845-3400
(716) 438-1430
Mailing address
3041 ORCHARD PARK RD, STE C, ORCHARD PARK, NY 14127-1238
(716) 674-3104
(716) 674-0666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
030004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07680968
—
NY
Enumeration date
05/05/2023
Last updated
04/21/2025
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