Provider Demographics
NPI:1780237578
Name:PIEGAY, MEAGHAN MARY (PA-C)
Entity type:Individual
Prefix:
First Name:MEAGHAN
Middle Name:MARY
Last Name:PIEGAY
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Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:1150 YOUNGS RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-636-7990
Mailing Address - Fax:716-636-7993
Practice Address - Street 1:1150 YOUNGS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-636-7979
Practice Address - Fax:716-692-0192
Is Sole Proprietor?:Yes
Enumeration Date:2019-07-20
Last Update Date:2020-10-08
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Provider Licenses
StateLicense IDTaxonomies
NY023682363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant