Individual
JESSE BERNARD DENARDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPC-NP
Contact information
Practice address
4949 HARLEM RD STE 404, AMHERST, NY 14226-2500
(716) 839-1690
Mailing address
4949 HARLEM RD STE 404, AMHERST, NY 14226-2500
(716) 839-1690
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310807
NY
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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