Individual
LIANE CATHERINE KIRCHBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4988
(716) 817-1719
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
005462-1
NY
363AM0700X
Medical Physician Assistant
Primary
005462
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02273018
—
NY
Enumeration date
05/25/2006
Last updated
10/31/2023
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