Provider Demographics
NPI:1801841598
Name:MIKULSKY, JAMES JOSEPH (RPA C)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:JOSEPH
Last Name:MIKULSKY
Suffix:
Gender:M
Credentials:RPA C
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Mailing Address - Street 1:897 DELAWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-2007
Mailing Address - Country:US
Mailing Address - Phone:716-883-6800
Mailing Address - Fax:716-883-6853
Practice Address - Street 1:897 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-2007
Practice Address - Country:US
Practice Address - Phone:716-883-6800
Practice Address - Fax:716-883-6853
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2022-05-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY0058191363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical