Individual
SCOTT ANDREW STAMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1540 MAPLE RD, WILLIAMSVILLE, NY 14221-3647
(716) 691-8838
Mailing address
57 IRVING PL, BUFFALO, NY 14201-1520
(716) 206-4598
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
23-015599
NY
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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