Individual
JENNIFER LYNN VITARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
1050 NIAGARA ST, BUFFALO, NY 14213-2001
(716) 710-4393
(716) 856-5614
Mailing address
156 ZITTEL ST, BUFFALO, NY 14210-2461
(716) 428-0321
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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