National Provider Identifier

Nicole J Jurek, PA-C

Nicole J Jurek, PA-C is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Buffalo, NY and a listed phone number of (716) 898-4153.

NPI 1407238744Buffalo, NYMedical Physician Assistant

Profile Overview

NPI
1407238744
Provider Type
Individual
Primary Specialty
Medical Physician Assistant
Enumeration Date
June 23, 2015
Last Updated
December 20, 2019

Practice Location

  • 462 Grider St Ste 116
  • Buffalo, NY 14215-3021

Phone: (716) 898-4153

Mailing Address

  • 462 Grider St
  • Suite 116
  • Buffalo, NY 14215-3021

Specialties

  • Medical Physician Assistant (363AM0700X)
Full Record
NPI
1407238744
Entity Type
Individual
Last Name
Jurek
First Name
Nicole
Middle Name
J
Name Prefix
MS.
Credential
PA-C
Mailing Street Address
462 Grider St
Mailing Address Line 2
Suite 116
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3021
Mailing Country
US
Mailing Phone
(716) 898-4153
Practice Street Address
462 Grider St Ste 116
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-4153
Enumeration Date
June 23, 2015
Last Updated
December 20, 2019
Sex
Female
Sole Proprietor
No
Certification Date
December 20, 2019
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Medical Physician Assistant (363AM0700X)