Individual
JORDAN MILES PLYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2266
Mailing address
561 TREMONT ST, NORTH TONAWANDA, NY 14120-6216
(716) 807-9668
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
817931
NY
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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