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Individual

DARA FADEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
184 BARTON ST, BUFFALO, NY 14213
(716) 881-6191
(716) 881-6247
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 348-3000
(716) 881-6247

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
121582
NY
363A00000X
Physician Assistant
Primary
017275
NY
363AM0700X
Medical Physician Assistant
PA21926
CA

Other

Enumeration date
11/23/2011
Last updated
09/12/2025
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