Individual
KATHERINE ELIZABETH NIESPODZINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4988
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-8235
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
017585-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03999671
—
NY
Enumeration date
06/27/2014
Last updated
06/15/2022
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