Individual
CLAIRE THERESA WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
(716) 845-3483
Mailing address
256 CENTER RD, WEST SENECA, NY 14224-1947
(716) 677-4469
(716) 677-4470
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
018949
NY
Other
Enumeration date
01/08/2016
Last updated
04/25/2022
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