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LYNNE MARIE FRIES PA-C NPI 1114915287


NPI Information

NPI: 1114915287
Provider Name: LYNNE MARIE FRIES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
219 BRYANT STREET
BUFFALO, NY
ZIP 14222
Phone: (716) 250-6545
Get Directions

Lynne Marie Fries, PA-C is a medical physician assistant in Buffalo, NY with 25 years of experience. Lynne Marie Fries, PA-C NPI is 1114915287. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

219 BRYANT STREET
BUFFALO, NY
ZIP 14222-006
Phone: (716) 250-6545
Fax: (716) 250-6566

The NPI 1114915287 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2005 and was last updated on 10/22/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician Assistant006966NEW YORKNo
2363AM0700XPhysician AssistantMedical006966-1NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000560443006OTHERNEW YORKBLUE CROSS/COMMUNITY BLUE
200026514404OTHERUNIVERA
3PA1817MEDICARE PIN
4DD1820MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
502759662MEDICAIDNEW YORK
6000560443011OTHERBC/BS
7070924000060OTHERFIDELIS
8R54766MEDICARE UPINNEW YORK
99512047OTHERIHA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.