National Provider Identifier

Jill Kaczmarek, N.P.

Jill Kaczmarek, N.P. is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Lancaster, NY and a listed phone number of (716) 668-5331.

NPI 1023095098Lancaster, NYNurse Practitioner

Profile Overview

NPI
1023095098
Provider Type
Individual
Primary Specialty
Nurse Practitioner
Enumeration Date
December 29, 2005
Last Updated
July 21, 2014

Practice Location

  • 4711 Transit RD
  • Lancaster, NY 14043-4888

Phone: (716) 668-5331

Specialties

  • Nurse Practitioner (363L00000X)
Full Record
NPI
1023095098
Entity Type
Individual
Last Name
Kaczmarek
First Name
Jill
Credential
N.P.
Mailing Street Address
4711 Transit RD
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14043-4888
Mailing Country
US
Mailing Phone
(716) 668-5331
Mailing Fax
(716) 668-5370
Practice Street Address
4711 Transit RD
Practice City
Lancaster
Practice State
NY
Practice ZIP Code
14043-4888
Practice Country
US
Practice Phone
(716) 668-5331
Practice Fax
(716) 668-5370
Enumeration Date
December 29, 2005
Last Updated
July 21, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Nurse Practitioner (363L00000X)
Other Identifiers
000560626003 (NY, Bc/Bs), 9511960 (NY, Iha), 00026518302 (NY, Univera), 02343424 (NY)