Provider Demographics
NPI:1063709632
Name:STRASSHEIM, LINDSAY (RPAC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:STRASSHEIM
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:MANDRINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7220 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1600
Mailing Address - Country:US
Mailing Address - Phone:716-575-0075
Mailing Address - Fax:716-242-0611
Practice Address - Street 1:7220 PORTER RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1600
Practice Address - Country:US
Practice Address - Phone:716-575-0075
Practice Address - Fax:716-242-0611
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014846363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical