Individual
ALYSSA RAE ERBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 701-8266
(716) 701-8267
Mailing address
908 NIAGARA FALLS BLVD STE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-3302
(716) 692-4342
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
020359
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04713824
—
NY
Enumeration date
09/23/2016
Last updated
09/29/2022
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