Individual
MS. NICOLE J JUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
462 GRIDER ST STE 116, BUFFALO, NY 14215-3021
(716) 898-4153
Mailing address
462 GRIDER ST, SUITE 116, BUFFALO, NY 14215-3021
(716) 898-4153
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
017804
NY
Other
Enumeration date
06/23/2015
Last updated
12/20/2019
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