Individual
BRYAN CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0000000
NY
Other
Enumeration date
09/27/2022
Last updated
09/27/2022
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