National Provider Identifier

Jill Eysaman-Walker, DO

Jill Eysaman-Walker, DO is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Cheektowaga, NY and a listed phone number of (716) 891-2570.

NPI 1609296417Cheektowaga, NYFamily Medicine Physician

Profile Overview

NPI
1609296417
Provider Type
Individual
Primary Specialty
Family Medicine Physician
Enumeration Date
April 18, 2014
Last Updated
July 21, 2022

Practice Location

  • 2625 Harlem Road
  • Suite 120
  • Cheektowaga, NY 14225-4018

Phone: (716) 891-2570

Mailing Address

  • 144 Genesee St Fl 3
  • Buffalo, NY 14203-1560

Specialties

  • Family Medicine Physician (207Q00000X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1609296417
Entity Type
Individual
Last Name
Eysaman-Walker
First Name
Jill
Credential
DO
Provider Other Last Name
Eysaman
Provider Other First Name
Jill
Provider Other Credential Text
DO
Provider Other Last Name Type Code
1
Mailing Street Address
144 Genesee St Fl 3
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14203-1560
Mailing Country
US
Mailing Phone
(716) 601-3690
Practice Street Address
2625 Harlem Road
Practice Address Line 2
Suite 120
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4018
Practice Country
US
Practice Phone
(716) 891-2570
Enumeration Date
April 18, 2014
Last Updated
July 21, 2022
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Medicine Physician (207Q00000X), Student in an Organized Health Care Education/Training Program (390200000X)