Individual
MS. AUDREY ANN DEGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-6051
Mailing address
9 VIA DONATO, DEPEW, NY 14043-4548
(716) 681-1865
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
005725-1
NY
Other
Enumeration date
01/03/2006
Last updated
10/09/2012
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