Most Relevant Information
Provider Data
| NPI Number: | 1003653619 |
| Provider Name: | KAYLAN MICHELLE MAYO PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2024 |
| Last Updated: | 09/19/2024 |
Provider Practice Location
34 BENWOOD AVE
BUFFALO
NY
142141761
Practice Location Phone/Fax
| Phone: | 7169869199 |
| Fax: | 7163422340 |
Provider Mailing Location
34 BENWOOD AVE
BUFFALO
NY
142141761
Provider Mailing Phone/Fax
| Phone: | 7169869199 |
| Fax: | 7163422340 |