JERRY L CORP

BUFFALO, NY
NPI1003261322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NY  402647)
Enumeration Date2016-04-25
Last Update Date2020-02-07
Business Address
Mr. JERRY L CORP PMHNP-BC
255 DELAWARE AVE
BUFFALO, NY 14202-2016
Phone number: 716-884-0888
Mailing Address
Mr. JERRY L CORP PMHNP-BC
255 DELAWARE AVE
BUFFALO, NY 14202-2016
Phone number: 716-884-0888
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