Most Relevant Information
Provider Data
| NPI Number: | 1003285552 |
| Provider Name: | ASHLEY L WYANT PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | 021113-1 |
Most Important Dates
| Enumeration Date: | 09/15/2015 |
| Last Updated: | 11/06/2019 |
Provider Practice Location
1021 BROADWAY ST
BUFFALO
NY
142121460
Practice Location Phone/Fax
| Phone: | 7165292030 |
| Fax: |
Provider Mailing Location
184 BARTON ST
BUFFALO
NY
142131573
Provider Mailing Phone/Fax
| Phone: | 7168816191 |
| Fax: | 7168816247 |
Suggested EMR
Family Practice EMR