National Provider Identifier

Nicholas Stephen Jodush, PT

Nicholas Stephen Jodush, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 688-0111.

NPI 1154197994Buffalo, NYPhysical Therapist

Profile Overview

NPI
1154197994
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 04, 2023
Last Updated
December 04, 2023

Practice Location

  • 815 Hopkins RD
  • Buffalo, NY 14221-2320

Phone: (716) 688-0111

Mailing Address

  • 115 Arland Ave
  • Olean, NY 14760-1559

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1154197994
Entity Type
Individual
Last Name
Jodush
First Name
Nicholas
Middle Name
Stephen
Credential
PT
Mailing Street Address
115 Arland Ave
Mailing City
Olean
Mailing State
NY
Mailing ZIP Code
14760-1559
Mailing Country
US
Mailing Phone
(716) 790-1599
Practice Street Address
815 Hopkins RD
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14221-2320
Practice Country
US
Practice Phone
(716) 688-0111
Enumeration Date
December 04, 2023
Last Updated
December 04, 2023
Sex
Male
Sole Proprietor
No
Certification Date
December 02, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)