Individual
JACOB SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 ASHLAND AVE APT 305, BUFFALO, NY 14222-2182
(716) 908-8164
Mailing address
7 ASHLAND AVE APT 305, BUFFALO, NY 14222-2182
(716) 908-8164
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
715295
NY
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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