Organization
EASTERN NIAGARA OB/GYN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER G JAMMAL MD (PRESIDENT)
(716) 433-1941
Entity
Organization
Contact information
Practice address
175 WALNUT ST., SUITE 7, LOCKPORT, NY 14094-3775
(716) 433-1941
(716) 439-1233
Mailing address
175 WALNUT ST., SUITE 7, LOCKPORT, NY 14094-3775
(716) 433-1941
(716) 439-1233
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00929593
—
NY
Enumeration date
05/11/2006
Last updated
07/18/2015
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