Individual
DR. JEWELL ANN HENLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 HIGH ST, BUFFALO, NY 14203-1126
(716) 859-5600
(716) 630-1348
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 348-3000
(716) 881-6247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
278784
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4146021
—
NY
Enumeration date
07/03/2007
Last updated
03/30/2020
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