Provider Demographics
NPI:1285675686
Name:CUMBO, HARJEET (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:HARJEET
Middle Name:
Last Name:CUMBO
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HARJEET
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4201 N BUFFALO RD
Mailing Address - Street 2:ENDION HOSPITALIST SYSTEMS
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-2402
Mailing Address - Country:US
Mailing Address - Phone:716-662-2544
Mailing Address - Fax:716-662-2545
Practice Address - Street 1:565 ABBOTT RD
Practice Address - Street 2:RM 8-632, AURORA HOSPITALIST
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2039
Practice Address - Country:US
Practice Address - Phone:716-828-2434
Practice Address - Fax:716-828-3417
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2009-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011031363A00000X
CT001735363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant