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Individual

DR. JENNIFER JO ADAMSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3003 9TH ST, NIAGARA FALLS, NY 14305-1931
(716) 284-8919
(716) 284-0428
Mailing address
4784 E EDDY DR, LEWISTON, NY 14092-1136
(716) 754-4607

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229948-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00026999601
UNIVERA
NY
01
000527933001
COMMUNITY BLUE
NY
01
0112705
IHA
NY
05
02574798
NY
01
041116000053
FIDELIS
NY
Enumeration date
02/21/2006
Last updated
07/01/2009
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