Provider Demographics
NPI:1457927170
Name:BESL, SIERRA (PA)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:
Last Name:BESL
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:31 FLANIGEN LN
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-2118
Mailing Address - Country:US
Mailing Address - Phone:716-335-3689
Mailing Address - Fax:
Practice Address - Street 1:2075 KENSINGTON AVE
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14226-4722
Practice Address - Country:US
Practice Address - Phone:716-839-1161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-02
Last Update Date:2021-07-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant