Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jeffrey M Park, PA-C

Individual provider Physician Assistant · NPI 1376581561

Mr. Jeffrey M Park, PA-C is a Physician Assistant in Buffalo, New York. Works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

701 Seneca St Ste 646C
Buffalo, NY 14210-1351
Phone: (716) 995-4450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 High St, Buffalo, NY 14203-1126 — (716) 859-1993

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 007902 (NY)

Record details

NPI number1376581561
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 2, 2006
Last updated in NPPESOctober 24, 2019

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