National Provider Identifier

Jessica Lynn Jurusik

Jessica Lynn Jurusik is listed in the NPPES registry with a primary specialty of Specialist in Williamsville, NY and a listed phone number of (716) 580-3976.

NPI 1366967515Williamsville, NYSpecialist

Profile Overview

NPI
1366967515
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
August 09, 2017
Last Updated
August 10, 2017

Practice Location

  • 5544 Main St
  • Williamsville, NY 14221-5406

Phone: (716) 580-3976

Mailing Address

  • 2818 Coventry Grn
  • Hamburg, NY 14075-5855

Specialties

  • Specialist (174400000X)
Full Record
NPI
1366967515
Entity Type
Individual
Last Name
Jurusik
First Name
Jessica
Middle Name
Lynn
Mailing Street Address
2818 Coventry Grn
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-5855
Mailing Country
US
Mailing Phone
(607) 426-0076
Practice Street Address
5544 Main St
Practice City
Williamsville
Practice State
NY
Practice ZIP Code
14221-5406
Practice Country
US
Practice Phone
(716) 580-3976
Enumeration Date
August 09, 2017
Last Updated
August 10, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)