Individual provider · Type 1 NPI

Laura B. Ridge, RPA-C

Medical Physician Assistant · Orchard Park, NY

NPI number 1104821008 Active

Practice location

3065 Southwestern Blvd, Ste 104
Orchard Park, NY 14127-1239

Call (716) 677-3065 Map

Fax (716) 712-0497

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X008329 (NY)

Medical Physician Assistant: Definition to come...

10 other providers at this address

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About NPI 1104821008

Laura B. Ridge, RPA-C's National Provider Identifier is 1104821008, issued on Jun 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Orchard Park, NY. The record was last updated on Jul 8, 2007.