Individual
BETH ALLAN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
6 FOUNTAIN PLZ, BUFFALO, NY 14202-2211
(716) 308-2557
Mailing address
6 FOUNTAIN PLAZA, BUFFALO, NY 14202
(716) 308-2557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
016448
NY
Other
Enumeration date
03/06/2013
Last updated
12/13/2013
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