Individual
CHARLENE TYMOREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 MAIN ST, BUFFALO, NY 14203-1009
(716) 323-0556
Mailing address
128 JASMINE AVE, WEST SENECA, NY 14224-4738
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
344547
NY
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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