Healthcare Provider Details

I. General information

NPI: 1710311923
Provider Name (Legal Business Name): LAURALEE SIBIGA PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2013
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E MAIN ST FL 1
SPRINGVILLE NY
14141-1443
US

IV. Provider business mailing address

726 EXCHANGE ST STE 710
BUFFALO NY
14210-1464
US

V. Phone/Fax

Practice location:
  • Phone: 716-710-8266
  • Fax:
Mailing address:
  • Phone: 716-852-4772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number016717
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: