Individual provider · Type 1 NPI

Teresa A. Micca, PA

Medical Physician Assistant · Buffalo, NY

NPI number 1831731256 Active

Practice location

Elm And Carlton St
Buffalo, NY 14263-0001

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other practice locations

  • 1555 Long Pond Rd, Rochester, NY 14626-4164 · (585) 723-7870

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X024430 (NY)
Medical Physician Assistant Primary 363AM0700X024430 (NY)

Medical Physician Assistant: Definition to come...

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About NPI 1831731256

Teresa A. Micca, PA's National Provider Identifier is 1831731256, issued on Oct 17, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Buffalo, NY. The record was last updated on Feb 2, 2026.