Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Christine Marie Micciariello, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1699896001

MS. Christine Marie Micciariello, PHYSICIANASSISTANT is a Physician Assistant in Williamsville, New York. Qualified in 1999, 27 years ago. Practices with Buffalo Medical Group, PC, a 236-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2007
Specialties on file
2
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Practice location Address checks out

325 Essjay Rd
Williamsville, NY 14221-8243
Phone: (716) 631-2517
Fax: (716) 634-5650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X
Physician Assistant Taxonomy 363A00000X · Licence 007098-1 (NY)

Record details

NPI number1699896001
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedApril 3, 2007
Last updated in NPPESDecember 6, 2021
Certification dateDecember 6, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Buffalo Medical Group, P.C. — 236 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Williamsville