National Provider Identifier

Joel Mamon

Joel Mamon is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 323-3000.

NPI 1346590296Buffalo, NYFamily Nurse Practitioner

Profile Overview

NPI
1346590296
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
September 18, 2012
Last Updated
July 23, 2019

Practice Location

  • 818 Ellicott St
  • Buffalo, NY 14203-1021

Phone: (716) 323-3000

Mailing Address

  • 2069 Two Rod RD
  • Marilla, NY 14102-9734

Specialties

  • Family Nurse Practitioner (363LF0000X)
  • Registered Nurse (163W00000X)
Full Record
NPI
1346590296
Entity Type
Individual
Last Name
Mamon
First Name
Joel
Mailing Street Address
2069 Two Rod RD
Mailing City
Marilla
Mailing State
NY
Mailing ZIP Code
14102-9734
Mailing Country
US
Mailing Phone
(716) 863-2153
Practice Street Address
818 Ellicott St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1021
Practice Country
US
Practice Phone
(716) 323-3000
Enumeration Date
September 18, 2012
Last Updated
July 23, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X), Registered Nurse (163W00000X)