Provider Demographics
NPI:1679702757
Name:MACDIARMID, PATRICK G JR (PA)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:G
Last Name:MACDIARMID
Suffix:JR
Gender:M
Credentials:PA
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Mailing Address - Street 1:100 HIGH ST # C368
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1126
Mailing Address - Country:US
Mailing Address - Phone:716-859-2247
Mailing Address - Fax:716-859-2885
Practice Address - Street 1:100 HIGH ST # C368
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1126
Practice Address - Country:US
Practice Address - Phone:716-859-2247
Practice Address - Fax:716-859-2885
Is Sole Proprietor?:No
Enumeration Date:2009-07-09
Last Update Date:2009-07-09
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Provider Licenses
StateLicense IDTaxonomies
NY0132951363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant