Individual
MARY MACIEJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7000
Mailing address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7000
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
380958
NY
Other
Enumeration date
01/29/2007
Last updated
07/08/2007
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