National Provider Identifier

Jessica Denisco

Jessica Denisco is listed in the NPPES registry with a primary specialty of Specialist in Angola, NY and a listed phone number of (716) 982-3950.

NPI 1083086367Angola, NYSpecialist

Profile Overview

NPI
1083086367
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
October 26, 2015
Last Updated
October 26, 2015

Practice Location

  • 9715 Northfield St
  • Angola, NY 14006-9165

Phone: (716) 982-3950

Specialties

  • Specialist (174400000X)
Full Record
NPI
1083086367
Entity Type
Individual
Last Name
Denisco
First Name
Jessica
Mailing Street Address
9715 Northfield St
Mailing City
Angola
Mailing State
NY
Mailing ZIP Code
14006-9165
Mailing Country
US
Mailing Phone
(716) 982-3950
Practice Street Address
9715 Northfield St
Practice City
Angola
Practice State
NY
Practice ZIP Code
14006-9165
Practice Country
US
Practice Phone
(716) 982-3950
Enumeration Date
October 26, 2015
Last Updated
October 26, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)