Individual
MS. CATHLEEN MARIE NIEDERMAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 650-9760
(716) 650-9622
Mailing address
PO BOX 1848, BUFFALO, NY 14240-1848
(716) 650-9760
(716) 650-9622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
336479
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03295416
—
NY
01
—
J400045793
NGS MEDICARE
NY
Enumeration date
09/12/2010
Last updated
03/30/2016
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