MS. LAUREN SAMANTHA WIATROWSKI


Address: 2475 Harlem Rd # 4558, Buffalo, NY 14225-4558
Phone: 7163225428

MS. LAUREN SAMANTHA WIATROWSKI (NPI# 1407323546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1407323546
Entity Type Individual
Full Name MS. LAUREN SAMANTHA WIATROWSKI
Practice Address 2475 Harlem Rd # 4558
Buffalo
NY 14225-4558
Mailing Address 2475 Harlem Rd
Buffalo
NY 14225-4558
Practice Telephone 7163225428
Enumeration Date 2018-10-26
Last Update Date 2020-11-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
025135 NY Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
22 Cedarbrook Drive, Lancaster, NY 14086 7163352146

Office Location

Street Address 2475 HARLEM RD # 4558
City BUFFALO
State NY
Zip Code 14225-4558

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1881040244 Amanda Sanders Licensed Practical Nurse 21 Kingswood Dr, Cheektowaga, NY 14225 2016-05-04
1255748638 Valerie Knowles Licensed Practical Nurse 3527 Harlem Road, Cheektowaga, NY 14225 2014-07-17
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407238744 Nicole J Jurek Physician Assistant 462 Grider St Ste 116, Buffalo, NY 14215-3021 2015-06-23
1912399114 Arian Pllana Physician Assistant 47 Vermont St, Buffalo, NY 14213-2427 2015-02-24
1386032928 Karyanne Cox Physician Assistant 100 E Tupper St, Buffalo, NY 14203-1315 2015-01-06
1255516324 Harding County Healthcare LLC Physician Assistant 209 Ramsland Street, Buffalo, SD 57720-0182 2008-01-08
1164594099 Urban Family Practice PC Physician Assistant 564 Niagara Street, Buffalo, NY 14201 2006-11-15
1760567127 Suzanne Moscati Physician Assistant 95 Franklin St, Buffalo, NY 14202-3925 2006-10-26
1326089087 Sharon Ruth Wittman-klein Physician Assistant 22 Cazenovia St, Buffalo, NY 14220-1706 2006-06-10
1386681211 David Michael Dapolito Physician Assistant 200 International Dr, Buffalo, NY 14221-8217 2006-05-31
1801862115 Patricia Gilbert Physician Assistant 209 Ramsland St., Buffalo, SD 57720-0182 2006-02-27
1093712077 Kristen M Salvamoser Physician Assistant 100 High St, Buffalo, NY 14203-1126 2005-07-05
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Competitor

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City BUFFALO
Zip Code 14225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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