Individual
ROBERT ANTHONY MICHIENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
85 HIGH ST, BUFFALO, NY 14203-1149
(716) 630-1000
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
NY
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
01/15/2021
Last updated
12/06/2021
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