Provider Demographics
NPI:1538467246
Name:MORGANTI, ALLISON K (RPA-C)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:K
Last Name:MORGANTI
Suffix:
Gender:F
Credentials:RPA-C
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:K
Other - Last Name:NIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPA-C
Mailing Address - Street 1:180 PARK CLUB LANE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-839-5858
Mailing Address - Fax:716-839-5925
Practice Address - Street 1:180 PARK CLUB LANE
Practice Address - Street 2:SUITE 225
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-839-5858
Practice Address - Fax:716-839-5925
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2015-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014629363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant