Individual provider · Type 1 NPI

Mary Eder, RPA-C

Medical Physician Assistant · West Seneca, NY

NPI number 1508081613 Active

Practice location

1900 Ridge Rd
West Seneca, NY 14224-3332

Mailing address

6805 Lake Shore Rd
Derby, NY 14047-9748

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X009301 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1508081613

Mary Eder, RPA-C's National Provider Identifier is 1508081613, issued on Apr 16, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in West Seneca, NY. The record was last updated on Jul 8, 2007.