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NPI Code Detail

MEDICARE: EDWARD APEN PA

MEDICARE: EDWARD APEN 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
1363A00000XPhysician AssistantNY

General Provider Information

NPI Number : 1952260986
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDWARD APEN PA
Provider Business Mailing Address
First Line : 2890 NIAGARA FALLS BLVD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-1114
Country : US
Telephone Number : 716-807-7337
Fax Number :
Provider Business Practice Location Address
First Line : 2890 NIAGARA FALLS BLVD
Second Line :
City : NORTH TONAWANDA
State : NY
Zip : 14120-1114
Country : US
Telephone Number : 716-807-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ EDWARD APEN PA” Practice Location

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