| Ms Nicole Maria Antzoulides Conroe, PA | |
|
3680 Eggert Rd, Orchard Park, NY 14127-1963 | |
| (716) 662-5357 | |
| (716) 662-2774 |
| Full Name | Ms Nicole Maria Antzoulides Conroe |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 3680 Eggert Rd, Orchard Park, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740422336 | NPI | - | NPPES |
| 013201 | Other | NY | NYS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 013201-1 (New York) | Secondary |
| 363A00000X | Physician Assistant | 013201 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Nicole Maria Antzoulides Conroe, PA 3680 Eggert Rd, Orchard Park, NY 14127-1963 Ph: () - | Ms Nicole Maria Antzoulides Conroe, PA 3680 Eggert Rd, Orchard Park, NY 14127-1963 Ph: (716) 662-5357 |
Heather Marie Larson, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3065 Southwestern Blvd, Suite 100, Orchard Park, NY 14127 Phone: 716-677-9220 Fax: 716-677-9226 | |
Austin Besch, Physician Assistant Medicare: Medicare Enrolled Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-630-1000 | |
Barbara Y Whiteside, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3900 N Buffalo St, Orchard Park, NY 14127 Phone: 716-630-1000 | |
Daniel Victor Tomasulo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3075 Southwestern Blvd, Suite 102, Orchard Park, NY 14127 Phone: 716-675-0616 Fax: 716-675-7101 | |
Mr. Michael James Fennell Ii, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3055 Southwestern Blvd Ste 100, Orchard Park, NY 14127 Phone: 716-675-2500 | |
Andrew Koroschetz, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5959 Big Tree Rd Ste 102, Orchard Park, NY 14127 Phone: 716-422-5677 | |
Mr. Paul Sandell, Physician Assistant Medicare: Medicare Enrolled Practice Location: 5800 Big Tree Rd, Orchard Park, NY 14127 Phone: 716-662-7337 |