IndividualActive
Alicia Bommersbach, PHYSICIAN ASSISTANT
NPI 1245244516 · Medical Physician Assistant · Williamsville, NY
Provider details
- NPI number
- 1245244516
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHYSICIAN ASSISTANT
- Sex
- Female
- Sole proprietor
- No
- License
- 011319 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
295 Essjay Rd
Williamsville, NY 14221-8216
Phone: (716) 630-1022
Fax: (716) 250-5958
Approximate (ZIP-level) locationGet directions
Mailing address
6255 Sheridan Dr
Williamsville, NY 14221-4836
Registry dates
- Enumerated
- 2006-07-29
- Last updated
- 2023-04-04
- Certified
- 2023-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.