Individual
DANIELLE KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
Mailing address
ELM AND CARLTON STREETS, BUFFALO, NY 14263-0001
(716) 845-2300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023724
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
023724
NYS LICENSE
NY
Enumeration date
08/29/2019
Last updated
11/28/2022
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