Individual
NICOLE LYNN GRICHEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3705 SENECA ST, BUFFALO, NY 14224-3452
(716) 674-2404
Mailing address
284 FREDERICKA ST, NORTH TONAWANDA, NY 14120-2630
(716) 523-5843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032595
NY
Other
Enumeration date
09/19/2024
Last updated
09/19/2024
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