Individual
MS. JENNIFER LEE PTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
Mailing address
10105 PARTRIDGE RD, HOLLAND, NY 14080-9608
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
692400-1
NY
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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