Individual
DR. JENNIFER LOUISE TRASK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6044 MAIN ST, SUITE 100, WILLIAMSVILLE, NY 14221-6883
(716) 633-6988
(716) 631-8690
Mailing address
355 NASSAU AVE, KENMORE, NY 14217-2150
(716) 876-0330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
239341
NY
Other
Enumeration date
06/02/2006
Last updated
07/08/2007
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