Individual
KYLE CIEHOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, PMHNP
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 566-1870
(716) 551-0891
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 566-1870
(716) 551-0891
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
800434
NY
363L00000X
Nurse Practitioner
Primary
405985
NY
Other
Enumeration date
12/22/2020
Last updated
10/11/2024
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