Individual
DIANA B KACHUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7386
Mailing address
2903 CLEVELAND AVE, NIAGARA FALLS, NY 14305-3305
(716) 878-7386
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F380466
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02388181
—
NY
01
—
BLUE CROSS
000560868001
NY
01
—
INDEPENDENT HEALTH
9512429
NY
Enumeration date
05/02/2006
Last updated
03/28/2014
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