Individual
DANIEL TYLER PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2095
(716) 826-7000
Mailing address
565 ABBOTT RD, BUFFALO, NY 14220-2095
(716) 826-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020703
NY
Other
Enumeration date
04/05/2017
Last updated
08/02/2021
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