Individual
MR. DENNIS MICHAEL JACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3021
(716) 609-0312
Mailing address
6103 WOODFORD DR, LAKE VIEW, NY 14085-9457
(716) 609-0312
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
343352
NY
Other
Enumeration date
07/20/2018
Last updated
05/10/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us