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

Individual provider Medical Physician Assistant · NPI 1407323546

MS. Lauren Samantha Wiatrowski is a Physician Assistant in Buffalo, New York. Qualified in 2020, 6 years ago. Practices with Kostas N Botsoglou MD LLC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2018
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Practice location Address checks out

2475 Harlem Rd # 4558
Buffalo, NY 14225-4558
Phone: (716) 322-5428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Cedarbrook Drive, Lancaster, NY 14086 — (716) 335-2146

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 025135 (NY)

Record details

NPI number1407323546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 26, 2018
Last updated in NPPESNovember 9, 2020
Certification dateSeptember 2, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Kostas N Botsoglou Md Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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