Individual
JESSICA BIELAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
860 MAIN RD, CORFU, NY 14036-9753
(585) 599-6446
Mailing address
11466 CARY RD, ALDEN, NY 14004-9597
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F310718-01
NY
Other
Enumeration date
07/21/2022
Last updated
07/21/2022
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