Ervolina-Kroll, Tammy Bernadette

Ervolina-Kroll, Tammy Bernadette is an individual health care provider with primary practice located at 1540 Maple Rd , Williamsville NY 14221-3647. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ervolina-Kroll, Tammy Bernadette can be contacted via phone (716) 580-1813.

Contact Information

Primary practice address
1540 Maple Rd Williamsville NY 14221-3647
Phone: (716) 580-1813
Fax: (716) 564-1134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 006387-1 New York

Profile Details

NPI number 1801852777
LBN Legal business name Ervolina-Kroll, Tammy Bernadette
Credentials RPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 23rd, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801852777 NPPES
New York MEDICAID 02073210

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