Provider Demographics
NPI:1912187717
Name:PIOTROWSKI, ROBERT E (RPA)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:PIOTROWSKI
Suffix:
Gender:M
Credentials:RPA
Other - Prefix:
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Mailing Address - Street 1:6070 MCKINLEY PKWY
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-5419
Mailing Address - Country:US
Mailing Address - Phone:716-390-6582
Mailing Address - Fax:716-532-8901
Practice Address - Street 1:100 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GOWANDA
Practice Address - State:NY
Practice Address - Zip Code:14070-1111
Practice Address - Country:US
Practice Address - Phone:716-951-7273
Practice Address - Fax:716-532-8901
Is Sole Proprietor?:No
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY008730-1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant