Individual
ANDREW J STANSBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
565 ABBOTT RD, @ MERCY HOSPTIAL OF BUFFALO, BUFFALO, NY 14220-2039
(518) 383-5450
(518) 383-4223
Mailing address
52 BROOKEDGE RD, RD, DEPEW, NY 14043-4203
(716) 668-4906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006296-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02341404
—
NY
Enumeration date
07/04/2006
Last updated
07/09/2007
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