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Individual

JUDY A PASCIAK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1984
(716) 862-1981
Mailing address
2157 MAIN ST, BUFFALO, NY 14214-2648
(716) 862-1984
(716) 862-1981

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
420382
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026704101
00026704101
NY
01
000560299001
BLUE CROSS OF WNY
NY
01
9512407
INDEPENDENT HEALTH
NY
Enumeration date
07/27/2006
Last updated
01/11/2012
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