Provider Demographics
NPI:1861628190
Name:DIFRANCO, TRICIA L (PA)
Entity Type:Individual
Prefix:MRS
First Name:TRICIA
Middle Name:L
Last Name:DIFRANCO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:TRICIA
Other - Middle Name:L
Other - Last Name:ZIMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:3615 SENECA ST
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224
Mailing Address - Country:US
Mailing Address - Phone:716-675-7376
Mailing Address - Fax:716-675-2191
Practice Address - Street 1:3615 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3444
Practice Address - Country:US
Practice Address - Phone:716-675-7376
Practice Address - Fax:716-675-2191
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2010-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical