Individual provider · Type 1 NPI

Alicia R. Bommersbach, PHYSICIAN ASSISTANT

Medical Physician Assistant · Williamsville, NY

NPI number 1245244516 Active

Practice location

295 Essjay Rd
Williamsville, NY 14221-8216

Call (716) 630-1022 Map

Fax (716) 250-5958

Mailing address

6255 Sheridan Dr, Suite 304
Williamsville, NY 14221-4836

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X011319 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1245244516

Alicia R. Bommersbach, PHYSICIAN ASSISTANT's National Provider Identifier is 1245244516, issued on Jul 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Williamsville, NY. The record was last updated on Apr 4, 2023.