Provider Demographics
NPI:1245380997
Name:CARUANA, JOSIE A (PA)
Entity type:Individual
Prefix:MRS
First Name:JOSIE
Middle Name:A
Last Name:CARUANA
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Gender:F
Credentials:PA
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Mailing Address - Street 1:565 ABBOTT ROAD
Mailing Address - Street 2:MERCY HOSPITAL DEPT OF MEDICINE
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220
Mailing Address - Country:US
Mailing Address - Phone:716-826-7000
Mailing Address - Fax:716-828-3472
Practice Address - Street 1:310 STERLING DRIVE
Practice Address - Street 2:SUITE 105
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-1569
Practice Address - Country:US
Practice Address - Phone:716-675-7730
Practice Address - Fax:716-675-7735
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2009-05-06
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Provider Licenses
StateLicense IDTaxonomies
NY006973363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01994687Medicaid