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

Natasha Petersen

Individual provider Physician Assistant · NPI 1376259176

Natasha Petersen is a Physician Assistant in Buffalo, New York. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

100 High St
Buffalo, NY 14203-1126
Phone: (716) 859-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1376259176
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 25, 2023
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 18, 2023
Mailing address77 Goodell St Ste 340, Buffalo, NY 14203-1243

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