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

Individual provider Surgical Physician Assistant · NPI 1306023866

Nicole C Scovazzo, PA-C is a Physician Assistant in Buffalo, New York. Qualified in 2007, 19 years ago. Practices with Erie County Medical Center Corporation, a 322-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
19
Licensed in
NY
In the registry since
2008
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

30 N Union Rd Ste 104
Buffalo, NY 14221-5367
Phone: (716) 565-3990
Fax: (716) 565-3988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30 N Union Rd Ste 104, Buffalo, NY 14221-5367 — (716) 565-3990

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 012391 (NY)

Record details

NPI number1306023866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 28, 2008
Last updated in NPPESApril 3, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Erie County Medical Center Corporation — 322 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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