Individual provider · Type 1 NPI

Elissa Bautista, PA-C

Physician Assistant · Buffalo, NY

NPI number 1205705449 Active

Practice location

2001 Main St
Buffalo, NY 14208-1035

Call (716) 883-7000 Map

Mailing address

4 Maple Ave
Lynbrook, NY 11563-2531

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X034898 (NY)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1205705449

Elissa Bautista, PA-C's National Provider Identifier is 1205705449, issued on Nov 4, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Buffalo, NY. The record was last updated on Nov 4, 2025.