JEROME SHITTEH

BUFFALO, NY
NPI1073769444
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NY  514256)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  F430655-1)
Enumeration Date2008-08-17
Last Update Date2016-12-30
Business Address
-- JEROME SHITTEH NP
3495 BAILEY AVE
BUFFALO, NY 14215-1129
Phone number: 716-308-3576
Mailing Address
-- JEROME SHITTEH NP
116 CRANBURNE LANE
AMHERST, NY 14221-4971
Phone number: 716-308-3576