Individual provider · Type 1 NPI

Erica Rae Bastian, PA-C

Surgical Physician Assistant · Williamsville, NY

NPI number 1053860809 Active

Practice location

3900 N Buffalo St
Williamsville, NY 14221

Call (716) 656-4852 Map

Fax (716) 817-1779

Mailing address

425 Essjay Rd Ste 170
Williamsville, NY 14221-5782

Other practice locations

  • 565 Abbott Rd, Buffalo, NY 14220-2039 · (716) 826-7000
  • 565 Abbott Rd, Buffalo, NY 14220-2039 · (716) 826-7000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X23 019956 (NY)
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1053860809

Erica Rae Bastian, PA-C's National Provider Identifier is 1053860809, issued on Sep 21, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Williamsville, NY. The record was last updated on Aug 23, 2018.