DENNIS MICHAEL JACK

BUFFALO, NY
NPI1659858827
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  343352)
Enumeration Date2018-07-20
Last Update Date2021-05-10
Business Address
Mr. DENNIS MICHAEL JACK FNP
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-609-0312
Mailing Address
Mr. DENNIS MICHAEL JACK FNP
6103 WOODFORD DR
LAKE VIEW, NY 14085-9457
Phone number: 716-609-0312
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