Individual
MS. ERIKA ELISHIA COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
899 MAIN ST, BUFFALO, NY 14203-1109
(716) 878-2700
Mailing address
120 GARDENVILLE PKWY W, WEST SENECA, NY 14224-1324
(716) 656-4250
(716) 656-4074
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
012012-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012012-1
LICENSE #
NY
Enumeration date
10/25/2007
Last updated
05/02/2012
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