National Provider Identifier
Jacquelyne Marie Chamberlain
Jacquelyne Marie Chamberlain is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 828-9560.
Profile Overview
- NPI
- 1568725513
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 22, 2012
- Last Updated
- June 22, 2012
Practice Location
- 51 Saint Johns Parkside St
- Buffalo, NY 14210-2515
Phone: (716) 828-9560
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1568725513
- Entity Type
- Individual
- Last Name
- Chamberlain
- First Name
- Jacquelyne
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Provider Other Last Name
- White
- Provider Other First Name
- Jacquelyne
- Provider Other Middle Name
- Marie
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 51 Saint Johns Parkside St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-2515
- Mailing Country
- US
- Mailing Phone
- (716) 828-9560
- Mailing Fax
- (716) 828-9467
- Practice Street Address
- 51 Saint Johns Parkside St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-2515
- Practice Country
- US
- Practice Phone
- (716) 828-9560
- Practice Fax
- (716) 828-9467
- Enumeration Date
- June 22, 2012
- Last Updated
- June 22, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)