MEDICARE: MRS. JENNIFER A MAY PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	009984 1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000570485001	OTHER	NY	BLUE CROSS BLUE SHIELD
2	00026800002	OTHER	NY	UNIVERA HEALTHCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	9512499	OTHER	NY	INDEPENDENT HEALTH

General Provider Information

NPI Number	:	1043296338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER A MAY PA

Provider Business Mailing Address
First Line	:	6507 TRANSIT RD
Second Line	:	SUITE A
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-1427
Country	:	US
Telephone Number	:	716-689-4377
Fax Number	:	716-689-4843

Provider Business Practice Location Address
First Line	:	6507 TRANSIT RD
Second Line	:	SUITE A
City	:	EAST AMHERST
State	:	NY
Zip	:	14051-1427
Country	:	US
Telephone Number	:	716-689-4377
Fax Number	:	716-689-4843

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2005
Last Update Date	:	09/29/2015

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Directions to “ MRS. JENNIFER A MAY PA” Practice Location

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