Provider Demographics
NPI:1447757166
Name:MAFI, PAISLEY BROOKE (DO)
Entity type:Individual
Prefix:
First Name:PAISLEY
Middle Name:BROOKE
Last Name:MAFI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:PAISLEY
Other - Middle Name:BROOKE
Other - Last Name:BUTSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14240-0488
Mailing Address - Country:US
Mailing Address - Phone:765-914-9053
Mailing Address - Fax:866-853-9551
Practice Address - Street 1:3980A SHERIDAN DR STE 200
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14226-1741
Practice Address - Country:US
Practice Address - Phone:716-833-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-09
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311413207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine