Provider Demographics
NPI:1043296338
Name:MAY, JENNIFER A (PA)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:A
Last Name:MAY
Suffix:
Gender:F
Credentials:PA
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Other - Credentials:
Mailing Address - Street 1:6507 TRANSIT RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1427
Mailing Address - Country:US
Mailing Address - Phone:716-689-4377
Mailing Address - Fax:716-689-4843
Practice Address - Street 1:6507 TRANSIT RD
Practice Address - Street 2:SUITE A
Practice Address - City:EAST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14051-1427
Practice Address - Country:US
Practice Address - Phone:716-689-4377
Practice Address - Fax:716-689-4843
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2015-09-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY009984 1363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000570485001OtherBLUE CROSS BLUE SHIELD
NY00026800002OtherUNIVERA HEALTHCARE
NY02622420Medicaid
NY9512499OtherINDEPENDENT HEALTH
NY000570485001OtherBLUE CROSS BLUE SHIELD
NY02622420Medicaid