Healthcare Provider Details

I. General information

NPI: 1346260916
Provider Name (Legal Business Name): JULIE LYNN SCHMIDT RPA-C, MPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 06/14/2023
Certification Date: 06/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 MAIN ST FL 4
BUFFALO NY
14203-1009
US

IV. Provider business mailing address

1001 MAIN ST FL 4
BUFFALO NY
14203-1009
US

V. Phone/Fax

Practice location:
  • Phone: 716-961-9900
  • Fax: 716-961-9911
Mailing address:
  • Phone: 716-961-9900
  • Fax: 716-961-9911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number008058-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: