Healthcare Provider Details

I. General information

NPI: 1104172287
Provider Name (Legal Business Name): EMILY E MCGOWAN RPA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2012
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1416 SWEET HOME RD STE 5
AMHERST NY
14228-2784
US

IV. Provider business mailing address

1416 SWEET HOME RD STE 5 SUITE 5
AMHERST NY
14228-2784
US

V. Phone/Fax

Practice location:
  • Phone: 716-834-4266
  • Fax: 716-834-6276
Mailing address:
  • Phone: 716-834-4266
  • Fax: 716-834-6276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number015717-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: