Healthcare Provider Details

I. General information

NPI: 1609769900
Provider Name (Legal Business Name): TARA LAUFER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2025
Last Update Date: 06/26/2025
Certification Date: 06/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

224 E MAIN ST
SPRINGVILLE NY
14141-1443
US

IV. Provider business mailing address

210 E MAIN ST
SPRINGVILLE NY
14141-1453
US

V. Phone/Fax

Practice location:
  • Phone: 716-592-2871
  • Fax:
Mailing address:
  • Phone: 716-592-8140
  • Fax: 716-592-8140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: