Individual
BETTYJO P MCAULIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA C
Contact information
Practice address
295 ESSJAY RD, BUFFALO MEDICAL GROUP, PC, WILLIAMSVILLE, NY 14221-8216
(716) 630-1146
(716) 817-1728
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005940
NY
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027047001
UNIVERA
NY
01
—
000570134001
BLUECROSS COMM BLUE
NY
01
—
9512431
INDEP HEALTH
NY
Enumeration date
11/22/2005
Last updated
12/06/2021
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