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General NPI Number Information
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NPI Number | 1376115162
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Entity Type | Individual
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Provider Name | MICHAELA ROSE HOEFLICH PA
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Gender | Female
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 501 KENMORE AVE
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City | BUFFALO
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State | NY
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Zip | 14223-2864
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Country | US
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Telephone | 716-768-4636
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Fax | 716-768-4656
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Provider Business Mailing Address
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Address Line | 32 POND BROOK DR
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City | ELMA
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State | NY
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Zip | 14059-9403
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Country | US
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Telephone | 716-829-9689
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 026774
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License Number State | NY
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