Individual
JUDITH LYNNE JACUMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
(716) 862-8600
Mailing address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
(716) 862-8600
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200224
NY
Other
Enumeration date
07/25/2006
Last updated
07/08/2007
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