Provider Demographics
NPI:1194255505
Name:DOWNEY, KURTIS MATTHEW (PA-C)
Entity type:Individual
Prefix:MR
First Name:KURTIS
Middle Name:MATTHEW
Last Name:DOWNEY
Suffix:
Gender:M
Credentials:PA-C
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Mailing Address - Street 1:7898 LOWER EAST HILL RD
Mailing Address - Street 2:
Mailing Address - City:COLDEN
Mailing Address - State:NY
Mailing Address - Zip Code:14033-9758
Mailing Address - Country:US
Mailing Address - Phone:716-512-8303
Mailing Address - Fax:716-941-5456
Practice Address - Street 1:565 ABBOTT RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-2039
Practice Address - Country:US
Practice Address - Phone:716-828-2085
Practice Address - Fax:716-828-3472
Is Sole Proprietor?:No
Enumeration Date:2017-06-18
Last Update Date:2017-06-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY020863363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical