Individual provider · Type 1 NPI

Tyler Joseph Gustafson, PHYSICIAN ASSISTANT

Physician Assistant · Jamestown, NY

NPI number 1609543255 Active

Practice location

15 S Main St
Jamestown, NY 14701-6626

Call (716) 969-4235 Map

Mailing address

390 East Fairmount Ave.
Lakewood, NY 14750

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X026970 (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 1609543255

Tyler Joseph Gustafson, PHYSICIAN ASSISTANT's National Provider Identifier is 1609543255, issued on Aug 23, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Jamestown, NY. The record was last updated on Feb 7, 2023.