Individual
JAMES E KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
701 SENECA ST STE 416, BUFFALO, NY 14210-1351
(716) 289-6358
Mailing address
397 BEACH RD, CHEEKTOWAGA, NY 14225-2768
(716) 289-6358
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F402847-01
NY
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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