Individual
SUSAN M PATRONIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3670 S BENZING RD, ORCHARD PARK, NY 14127-1705
(716) 662-5357
(716) 662-2774
Mailing address
3670 S BENZING RD, ORCHARD PARK, NY 14127-1705
(716) 662-5357
(716) 662-2774
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA053342
PA
363AM0700X
Medical Physician Assistant
001003668
NC
363AM0700X
Medical Physician Assistant
Primary
017506-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00028380301
UNIVERA
NY
05
—
8103048
—
NC
Enumeration date
03/06/2008
Last updated
01/04/2015
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