Individual
STEPHANIE MARIE SIUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
85 HIGH ST, BUFFALO, NY 14203
(716) 630-1000
(716) 680-1348
Mailing address
425 ESSJAY RD STE 170, WILLIAMSVILLE, NY 14221-5782
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
019161
NY
Other
Enumeration date
10/07/2015
Last updated
12/13/2021
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