Provider Demographics
NPI:1942019435
Name:SZUFLITA, CAROLINE MARIE (PA-C)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:MARIE
Last Name:SZUFLITA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9925 CLARKSBURG RD
Mailing Address - Street 2:
Mailing Address - City:EDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14057-9402
Mailing Address - Country:US
Mailing Address - Phone:716-939-0053
Mailing Address - Fax:
Practice Address - Street 1:9925 CLARKSBURG RD
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NY
Practice Address - Zip Code:14057-9402
Practice Address - Country:US
Practice Address - Phone:716-939-0053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant