Individual
DUSTIN J CERATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 204-4500
(716) 204-4501
Mailing address
6653 MAIN ST, WILLIAMSVILLE, NY 14221-5906
(716) 204-4500
(716) 204-4501
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02815621
—
NY
Enumeration date
08/09/2006
Last updated
11/09/2007
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