Individual
CHRISTINE MARIE HERRMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4344
(716) 893-1010
(716) 893-1002
Mailing address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4036
(716) 893-1010
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005376
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026527501
UNIVERA
NY
01
—
000570328003
BC/BS
NY
01
—
9512613
IHA
NY
Enumeration date
03/27/2006
Last updated
12/18/2024
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