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Individual

JOAN M OSSWALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
397 LOUISIANA ST, BUFFALO, NY 14204-2275
(716) 847-6610
(716) 854-3052
Mailing address
2875 UNION RD, SUTIE 21, CHEEKTOWAGA, NY 14227-1470
(716) 706-2034
(716) 706-2035

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
330889
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026547501
UNIVERA
NY
01
000560100001
BLUE CROSS OF WNY
NY
01
040426001225
FIDELIS
NY
01
500018942
RAILROAD MEDICARE
NY
01
9511996
INDEPENDENT HEALTH
NY
Enumeration date
07/24/2006
Last updated
01/04/2012
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