Individual
HALLEY ANNE BIERSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3900 N BUFFALO ST, ORCHARD PARK, NY 14127-1842
(716) 656-4852
(716) 817-1779
Mailing address
462 GRIDER STREET, BUFFALO, NY 14215
(716) 630-1219
(716) 817-1726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
020860
NY
363AS0400X
Surgical Physician Assistant
Primary
020860-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04794978
—
NY
Enumeration date
06/02/2017
Last updated
02/05/2025
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