Individual
JESSICA LEE BORTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
462 GRIDER ST, ECMC, #1184-A, BUFFALO, NY 14215-3021
(716) 898-4221
(716) 898-4538
Mailing address
1010 E AND WEST RD, WEST SENECA, NY 14224-3602
(716) 677-7109
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
282829
NY
Other
Enumeration date
04/22/2013
Last updated
10/02/2020
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