Individual
MS. JAMIE M HENDRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.N.P.
Contact information
Practice address
25 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 632-8050
(716) 632-2297
Mailing address
25 HOPKINS RD, WILLIAMSVILLE, NY 14221-4641
(716) 632-8050
(716) 632-2297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
382244
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
F382244-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03431261
—
NY
Enumeration date
10/26/2011
Last updated
02/05/2013
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