National Provider Identifier
Jon C Kucera, MD
Jon C Kucera, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Buffalo, NY and a listed phone number of (716) 875-2904.
Profile Overview
- NPI
- 1447348776
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- October 11, 2006
- Last Updated
- March 02, 2012
Practice Location
- 155 Lawn Ave
- Buffalo, NY 14207-1816
Phone: (716) 875-2904
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1447348776
- Entity Type
- Individual
- Last Name
- Kucera
- First Name
- Jon
- Middle Name
- C
- Credential
- MD
- Mailing Street Address
- 155 Lawn Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14207-1816
- Mailing Country
- US
- Mailing Phone
- (716) 875-2904
- Mailing Fax
- (716) 875-6717
- Practice Street Address
- 155 Lawn Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-1816
- Practice Country
- US
- Practice Phone
- (716) 875-2904
- Practice Fax
- (716) 875-6717
- Enumeration Date
- October 11, 2006
- Last Updated
- March 02, 2012
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 01139880 (NY), 0409803 (NY, Independent Health), 040426002977 (NY, Fidelis), 000510823004 (NY, Bc/Bs), 150520-BJ (NY, Preferred Care), 00010096302 (NY, Univera), 2593447 (NY, Ghi Ppo), 72676 (NY, Ghi Hmo)