Healthcare Provider Details

I. General information

NPI: 1518881754
Provider Name (Legal Business Name): LAURA E. WHITCROFT PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA E. SCHAFFER PTA

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 ELLICOTT ST
BUFFALO NY
14203-1021
US

IV. Provider business mailing address

55 N PEARL ST
ATTICA NY
14011-1141
US

V. Phone/Fax

Practice location:
  • Phone: 716-323-6677
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number012376-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: