National Provider Identifier

Jennifer Lynn Shotwell

Jennifer Lynn Shotwell is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician in Buffalo, NY and a listed phone number of (716) 898-4040.

NPI 1548785140Buffalo, NYDiagnostic Radiology Physician

Profile Overview

NPI
1548785140
Provider Type
Individual
Primary Specialty
Diagnostic Radiology Physician
Enumeration Date
August 04, 2017
Last Updated
August 04, 2017

Practice Location

  • 462 Grider St
  • Buffalo, NY 14215-3021

Phone: (716) 898-4040

Mailing Address

  • 266 Bedford Ave
  • Buffalo, NY 14216-3104

Specialties

  • Diagnostic Radiology Physician (2085R0202X)
  • Computed Tomography Radiologic Technologist (2471C3401X)
  • Magnetic Resonance Imaging Radiologic Technologist (2471M1202X)
Full Record
NPI
1548785140
Entity Type
Individual
Last Name
Shotwell
First Name
Jennifer
Middle Name
Lynn
Name Prefix
MS.
Mailing Street Address
266 Bedford Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-3104
Mailing Country
US
Mailing Phone
(716) 574-4803
Practice Street Address
462 Grider St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3021
Practice Country
US
Practice Phone
(716) 898-4040
Enumeration Date
August 04, 2017
Last Updated
August 04, 2017
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Diagnostic Radiology Physician (2085R0202X), Computed Tomography Radiologic Technologist (2471C3401X), Magnetic Resonance Imaging Radiologic Technologist (2471M1202X)