Individual
MS. DEBORAH ANN MACIOLEK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-6063
(716) 862-8600
Mailing address
422 EVERGREEN DR, TONAWANDA, NY 14150-5536
(716) 862-6063
(716) 862-8600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005245
NY
Other
Enumeration date
12/12/2005
Last updated
07/08/2007
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