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General NPI Number Information
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NPI Number | 1720616055
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Entity Type | Individual
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Provider Name | CARRIE SALEH FEROLETO PA-C
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Gender | Female
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Dates
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Enumeration Date | 03/31/2020
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Last Update Date | 07/23/2024
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Provider Practice Location Address
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Address Line | 729 TACOMA AVE
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City | BUFFALO
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State | NY
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Zip | 14216-2519
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Country | US
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Telephone | 716-864-2470
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Fax |
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Provider Business Mailing Address
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Address Line | 1416 SWEET HOME RD STE 5
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City | AMHERST
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State | NY
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Zip | 14228-2784
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Country | US
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Telephone | 716-834-4266
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 024915
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License Number State | NY
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