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

Individual provider Physician Assistant · NPI 1700055068

Mr. Trevor Deraney, PA-C is a Physician Assistant in Buffalo, New York. Licensed in Florida and New York. Registered with an NPI since 2008.

Licensed in
FL, NY
In the registry since
2008
Specialties on file
2
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

237 Linwood Ave
Buffalo, NY 14209-2009
Phone: (716) 248-1420
Fax: (716) 248-2026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA 9104519 (FL)
Physician Assistant Taxonomy 363A00000X · Licence 022142 (NY)

Record details

NPI number1700055068
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 20, 2008
Last updated in NPPESMarch 15, 2019

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