National Provider Identifier

Jennifer L Povinelli, MSED

Jennifer L Povinelli, MSED is listed in the NPPES registry with a primary specialty of Specialist in Lackawanna, NY and a listed phone number of (716) 822-4781.

NPI 1023373024Lackawanna, NYSpecialist

Profile Overview

NPI
1023373024
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
July 06, 2012
Last Updated
July 06, 2012

Practice Location

  • 697 Ridge RD
  • Lackawanna, NY 14218-1500

Phone: (716) 822-4781

Mailing Address

  • 7062 Brian Ln
  • Niagara Falls, NY 14304-4632

Specialties

  • Specialist (174400000X)
Full Record
NPI
1023373024
Entity Type
Individual
Last Name
Povinelli
First Name
Jennifer
Middle Name
L
Credential
MSED
Mailing Street Address
7062 Brian Ln
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-4632
Mailing Country
US
Mailing Phone
(716) 692-0365
Practice Street Address
697 Ridge RD
Practice City
Lackawanna
Practice State
NY
Practice ZIP Code
14218-1500
Practice Country
US
Practice Phone
(716) 822-4781
Enumeration Date
July 06, 2012
Last Updated
July 06, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)