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Individual

ANASTASJA KETCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4036
(716) 893-1010
Mailing address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4036
(716) 893-1010

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
022165
NY
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/08/2018
Last updated
02/19/2026
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