National Provider Identifier

Jessica Martinolich

Jessica Martinolich is listed in the NPPES registry with a primary specialty of Surgery Physician in Williamsville, NY and a listed phone number of (716) 636-9004.

NPI 1154740199Williamsville, NYSurgery Physician

Profile Overview

NPI
1154740199
Provider Type
Individual
Primary Specialty
Surgery Physician
Enumeration Date
April 07, 2014
Last Updated
May 17, 2023

Practice Location

  • 1150 Youngs RD Ste 205
  • Williamsville, NY 14221-8024

Phone: (716) 636-9004

Specialties

  • Surgery Physician (208600000X)
Full Record
NPI
1154740199
Entity Type
Individual
Last Name
Martinolich
First Name
Jessica
Mailing Street Address
1150 Youngs RD Ste 205
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-8024
Mailing Country
US
Mailing Phone
(716) 636-9004
Practice Street Address
1150 Youngs RD Ste 205
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-8024
Practice Country
US
Practice Phone
(716) 636-9004
Enumeration Date
April 07, 2014
Last Updated
May 17, 2023
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
May 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Surgery Physician (208600000X)