Individual
KIM MARIE FERRUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
ELM AND CARLTON STREETS, BUFFALO, NY 14263
(716) 845-2300
(716) 845-7608
Mailing address
ELM AND CARLTON ST, BUFFALO, NY 14263-0001
(716) 845-2300
(716) 845-7608
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F420632
NY
363LW0102X
Women's Health Nurse Practitioner
F420632
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02271218
—
NY
Enumeration date
07/31/2006
Last updated
07/15/2019
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