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Individual

SHARON RUTH WITTMAN-KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.P.A.-C

Contact information

Practice address
22 CAZENOVIA ST, BUFFALO, NY 14220-1706
(716) 828-1410
(716) 828-1416
Mailing address
18 GRAFTON CT, LANCASTER, NY 14086-2361
(716) 685-9383

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007062
363AS0400X
Surgical Physician Assistant
007062
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026504601
UNIVERA
NY
01
000570313003
BLUE CROSS OF WESTERN NY
NY
05
02166512
NY
01
9512094
INDEPENDENT HEALTH ASSOCI
NY
Enumeration date
06/10/2006
Last updated
11/26/2014
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