Healthcare Provider Details

I. General information

NPI: 1043736648
Provider Name (Legal Business Name): CHELSEY LINDAUER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2017
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 E ROBINSON RD
W AMHERST NY
14228-2041
US

IV. Provider business mailing address

6255 SHERIDAN DR STE 108
WILLIAMSVILLE NY
14221-4825
US

V. Phone/Fax

Practice location:
  • Phone: 716-564-1111
  • Fax:
Mailing address:
  • Phone: 716-630-2562
  • Fax: 716-817-1726

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: