Individual
MRS. BRANDY LEIGH MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
235 NORTH ST, LOWER LEVEL, BUFFALO, NY 14201-1435
(716) 882-0726
(716) 882-3484
Mailing address
235 NORTH ST, LOWER LEVEL, BUFFALO, NY 14201-1435
(716) 882-0726
(716) 882-3484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012404-1
NY
363A00000X
Physician Assistant
1319
SC
363AM0700X
Medical Physician Assistant
PA9106118
FL
363AS0400X
Surgical Physician Assistant
PA9106118
FL
Other
Enumeration date
02/28/2008
Last updated
03/04/2014
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