Klimtzak, Andrea

Klimtzak, Andrea is an individual health care provider with primary practice located at 112 Olean St Suite 220, East Aurora NY 14052-2540. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Klimtzak, Andrea can be contacted via phone (716) 805-1072.

Contact Information

Primary practice address
112 Olean St Suite 220 East Aurora NY 14052-2540
Phone: (716) 805-1072
Fax: (716) 805-1073
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010679 New York

Profile Details

NPI number 1902874688
LBN Legal business name Klimtzak, Andrea
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Mar 11th, 2011 - about 13 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 1902874688 NPPES
New York Other 00027264901 UNIVERA
New York MEDICAID 02699627 UNIVERA
New York Other 172119BF UNIVERA
New York Other 9512871 UNIVERA
New York Other 000570550001 UNIVERA
New York Other 051031000028 UNIVERA

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