KIERSTEN LEIGH HABDO


Address: 2121 Main St, Buffalo, NY 14214-2693
Phone: 7168386655

KIERSTEN LEIGH HABDO (NPI# 1619493780) 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) 1619493780
Entity Type Individual
Full Name KIERSTEN LEIGH HABDO
Credential PA-C
Practice Address 2121 Main St
Buffalo
NY 14214-2693
Mailing Address 1083 Delaware Ave 3rd Floor
Buffalo
NY 14209-1635
Practice Telephone 7168386655
Mailing Telephone 7167684656
Mailing Fax Number 7167684636
Enumeration Date 2017-08-20
Last Update Date 2019-04-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
021204 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2121 MAIN ST
City BUFFALO
State NY
Zip Code 14214-2693

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629573076 Dana Marie Brimmer Student in an Organized Health Care Education/Training Program 2121 Main St, Buffalo, NY 14214-2693 2018-03-28
1154773570 Jessica Zinaty Dentist 2121 Main St, #310, Buffalo, NY 14214-2693 2016-07-09
1295183606 Blair Braunstein Dentist 2121 Main St, Suite 310, Buffalo, NY 14214-2693 2016-05-25
1235558818 Jules Bodo Podiatrist 2121 Main St, Ste 214, Buffalo, NY 14214-2693 2014-04-10
1457794398 Maria Lc Labi Md Pllc Physical Medicine & Rehabilitation 2121 Main St, Suite 210, Buffalo, NY 14214-2693 2013-04-10
1558632281 Mckenzie Boone Nurse Anesthetist, Certified Registered 2121 Main St, Ste 209, Buffalo, NY 14214-2693 2012-01-26
1902177876 Molly Mason Nurse Anesthetist, Certified Registered 2121 Main St, Suite 209, Buffalo, NY 14214-2693 2012-01-24
1063711992 Academic Buffalonias In Physical Medicine & Rehabilitation PC Physical Medicine & Rehabilitation 2121 Main St, Suite 112, Buffalo, NY 14214-2693 2011-03-17
1275838922 Patricia Nowak Nurse Anesthetist, Certified Registered 2121 Main St, Ste 209, Buffalo, NY 14214-2693 2011-01-11
1932401098 Anthony G Mugleston Nurse Anesthetist, Certified Registered 2121 Main St, Suite 209, Buffalo, NY 14214-2693 2010-11-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346862935 Hafiz Muhammad Fazeel Student in an Organized Health Care Education/Training Program 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 2020-05-18
1962031542 Sana Annan Anesthesiology 195 Holden St, Buffalo, NY 14214 2020-04-06
1508404401 Gabrielle Korman Counselor 70 Jewett Parkway, Buffalo, NY 14214 2019-12-11
1215581541 Ahmed Nagy Abdelrahman Speech-Language Pathologist 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 2019-07-25
1316590086 Megan Elizabeth Quinn Social Worker 34 Benwood Ave., Buffalo, NY 14214 2019-07-22
1235690553 Iqra Qamar Student in an Organized Health Care Education/Training Program 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 2019-03-28
1477034676 April Forsaith Villacrusis Specialist/Technologist 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 2018-08-24
1437656675 Anum Nida Student in an Organized Health Care Education/Training Program Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 2018-04-12
1710480173 Wny Podiatric Associates Pllc Podiatrist 2121 Main St Ste 214, Buffalo, NY 14214 2018-03-13
1043738446 Alexander Paul Peters Physical Therapist 53 Robie St, Apt 3, Buffalo, NY 14214 2017-09-06
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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
1407323546 Lauren Samantha Wiatrowski Physician Assistant 2475 Harlem Rd # 4558, Buffalo, NY 14225-4558 2018-10-26
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
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Competitor

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City BUFFALO
Zip Code 14214

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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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