National Provider Identifier
Jessica Martin
Jessica Martin is listed in the NPPES registry with a primary specialty of Specialist in Lockport, NY and a listed phone number of (716) 574-7816.
Profile Overview
- NPI
- 1457876187
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- August 03, 2017
- Last Updated
- August 03, 2017
Practice Location
- 4429 Lake Ave
- Lockport, NY 14094-1198
Phone: (716) 574-7816
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1457876187
- Entity Type
- Individual
- Last Name
- Martin
- First Name
- Jessica
- Mailing Street Address
- 4429 Lake Ave
- Mailing City
- Lockport
- Mailing State
- NY
- Mailing ZIP Code
- 14094-1198
- Mailing Country
- US
- Practice Street Address
- 4429 Lake Ave
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-1198
- Practice Country
- US
- Practice Phone
- (716) 574-7816
- Enumeration Date
- August 03, 2017
- Last Updated
- August 03, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)