Trevor Deraney in Buffalo - Physician Assistant
Trevor Deraney - NPI 1700055068
Trevor Deraney is a Physician Assistant in Buffalo, New York. Trevor Deraney practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Trevor Deraney is 1700055068. The last update date is 2019-03-15.
Trevor Deraney's current location address is 237 Linwood Ave, Buffalo, New York. You can contact this provider via phone number 7162481420 and fax number 7162482026. The mailing address for Trevor Deraney is 237 Linwood Ave, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Trevor Deraney |
|---|---|
| Address | 237 Linwood Ave, Buffalo, New York |
| Phone Number | 7162481420 |
| Fax Number | 7162482026 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1700055068 |
|---|---|
| Provider Enumeration Date | 2008-02-20 |
| Last Updated Date | 2019-03-15 |
Provider Mailing Address Detail
| Address | 237 Linwood Ave |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142092009 |
| Phone Number | 7162481420 |
| Fax Number | 7162482026 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 22142 |
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Definition: 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 perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20626400 | FL | -- | |
| 3217214 | NY | -- |
Post Comment/ Review Below
What is the Trevor Deraney's unique identification number?
The Trevor Deraney has been assigned the NPI (National Provider Identifier) Number 1700055068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Trevor Deraney?
The Trevor Deraney is situated at 237 Linwood Ave, in the city of Buffalo, state of NY, with the zip code 142092009.
What is Trevor Deraney's specialized field of practice, and what is the corresponding taxonomy classification code?
The Trevor Deraney's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When did Trevor Deraney receive its 1700055068 assignment?
The Trevor Deraney was assigned its 1700055068 on 2008-02-20, which is the date when this unique identifier was issued to the organization.
As of what date were the Trevor Deraney's details last updated?
The information pertaining to the Trevor Deraney, including its address, specialty, and other details, was most recently updated on 2019-03-15.
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