Provider Demographics
NPI:1780125898
Name:SEMY, SARFARAZ (PA)
Entity type:Individual
Prefix:
First Name:SARFARAZ
Middle Name:
Last Name:SEMY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 SUMMERSHADE CT
Mailing Address - Street 2:
Mailing Address - City:EAST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14051-1678
Mailing Address - Country:US
Mailing Address - Phone:716-836-6852
Mailing Address - Fax:716-712-0933
Practice Address - Street 1:3775 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3434
Practice Address - Country:US
Practice Address - Phone:716-712-0890
Practice Address - Fax:716-712-0933
Is Sole Proprietor?:No
Enumeration Date:2017-03-09
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant