Individual
ANDREA ZGODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
2157 MAIN ST, BUFFALO, NY 14214-2692
(716) 862-1000
Mailing address
6845 KIMBERLY DR, LOCKPORT, NY 14094-9676
(716) 208-6584
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
F350509-01
NY
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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