Individual
NEHA JASSAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 852-1578
(716) 852-5154
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0034
(716) 323-0292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
286223
NY
282NR1301X
Rural Acute Care Hospital
—
—
Other
Enumeration date
02/21/2014
Last updated
11/24/2020
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