Fabianski, Jason Daniel

Fabianski, Jason Daniel is an individual health care provider with primary practice located at 3810 Taylor Rd , Orchard Park NY 14127-2232. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fabianski, Jason Daniel can be contacted via phone (716) 854-5700.

Contact Information

Primary practice address
3810 Taylor Rd Orchard Park NY 14127-2232
Fax: (716) 677-6407
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 006393-1 New York

Profile Details

NPI number 1851331839
LBN Legal business name Fabianski, Jason Daniel
Credentials R.P.A.-C.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Apr 14th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851331839 NPPES
New York Other 000570176001 BLUE CROSS
New York Other 9512181 BLUE CROSS
New York MEDICAID 01864846 BLUE CROSS

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