Individual
ALYSSA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43 NIAGARA ST, NORTH TONAWANDA, NY 14120-6115
(716) 690-2001
(716) 690-2239
Mailing address
43 NIAGARA ST, NORTH TONAWANDA, NY 14120-6115
(585) 297-9962
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/07/2022
Last updated
10/25/2022
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