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

Individual provider Physician Assistant · NPI 1679253223

Stephany Ruszala, PA-C is a Physician Assistant in North Tonawanda, New York. Qualified in 2023, 3 years ago. Practices with Canalside Primary Care PC, a 3-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2023
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

43 Niagara St
North Tonawanda, NY 14120-6115
Phone: (716) 690-2001
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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 030047 (NY)

Record details

NPI number1679253223
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 19, 2023
Certification dateJuly 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Canalside Primary Care Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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