Individual
MS. MANDY LYNN ABRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
1150 YOUNGS RD, SUITE104, WILLIAMSVILLE, NY 14221-8053
(716) 636-7979
(716) 636-7993
Mailing address
1150 YOUNGS RD, SUITE104, WILLIAMSVILLE, NY 14221-8053
(716) 636-7979
(716) 636-7993
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
014845
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03356952
—
NY
Enumeration date
06/29/2011
Last updated
01/07/2016
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