Healthcare Provider Details

I. General information

NPI: 1841631736
Provider Name (Legal Business Name): KARI JO ANDERA CHUFF PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2013
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

515 MAIN ST
OLEAN NY
14760-1598
US

IV. Provider business mailing address

515 MAIN ST
OLEAN NY
14760-1598
US

V. Phone/Fax

Practice location:
  • Phone: 716-701-1510
  • Fax:
Mailing address:
  • Phone: 716-701-1510
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number016608
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier03635825
Identifier TypeMEDICAID
Identifier StateNY
Identifier Issuer

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: