Provider Demographics
NPI:1689989907
Name:BUSSE, DONALD G JR (RPA-C)
Entity Type:Individual
Prefix:MR
First Name:DONALD
Middle Name:G
Last Name:BUSSE
Suffix:JR
Gender:M
Credentials:RPA-C
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Mailing Address - Street 1:1 JOHN JAMES AUDUBON PKWY
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-1145
Mailing Address - Country:US
Mailing Address - Phone:716-204-4500
Mailing Address - Fax:716-204-4501
Practice Address - Street 1:2950 ELMWOOD AVE
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1304
Practice Address - Country:US
Practice Address - Phone:716-204-4500
Practice Address - Fax:716-204-4501
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
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Provider Licenses
StateLicense IDTaxonomies
NY014141363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant