Provider Demographics
NPI:1811482714
Name:JASZKA, EMILY (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:JASZKA
Suffix:
Gender:
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:KOWALSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6255 SHERIDAN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-8096
Mailing Address - Country:US
Mailing Address - Phone:716-636-7979
Mailing Address - Fax:716-929-0192
Practice Address - Street 1:6255 SHERIDAN DR STE 200
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-8096
Practice Address - Country:US
Practice Address - Phone:716-636-7979
Practice Address - Fax:716-929-0192
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY05348196Medicaid