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Individual

JACOB REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 826-7000
Mailing address
22 MAPLEHURST RD, ROCHESTER, NY 14617-4508
(907) 738-3107

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
433015
NY

Other

Enumeration date
04/16/2018
Last updated
01/14/2025
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