Individual
JOANNE HAEFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
155 LAWN AVE, BUFFALO, NY 14207-1816
(719) 875-2904
(716) 875-6717
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(719) 875-2904
(716) 875-6717
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333134-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00027632801
UNIVERA
NY
01
—
000560581005
BC/BS
NY
05
—
02343011
—
NY
01
—
9513100
INDEPENDENT HEALTH
NY
Enumeration date
10/11/2006
Last updated
02/14/2012
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