National Provider Identifier
June Marie Telaak, NP
June Marie Telaak, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Lackawanna, NY and a listed phone number of (716) 549-4724.
Profile Overview
- NPI
- 1619910718
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- June 14, 2006
- Last Updated
- October 26, 2009
Practice Location
- 15 Melroy Ave
- Lackawanna, NY 14218-1626
Phone: (716) 549-4724
Mailing Address
- 1344 McKinley Pkwy
- Lackawanna, NY 14218-1643
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1619910718
- Entity Type
- Individual
- Last Name
- Telaak
- First Name
- June
- Middle Name
- Marie
- Credential
- NP
- Mailing Street Address
- 1344 McKinley Pkwy
- Mailing City
- Lackawanna
- Mailing State
- NY
- Mailing ZIP Code
- 14218-1643
- Mailing Country
- US
- Mailing Phone
- (716) 649-0887
- Mailing Fax
- (716) 646-4611
- Practice Street Address
- 15 Melroy Ave
- Practice City
- Lackawanna
- Practice State
- NY
- Practice ZIP Code
- 14218-1626
- Practice Country
- US
- Practice Phone
- (716) 549-4724
- Practice Fax
- (716) 821-0568
- Enumeration Date
- June 14, 2006
- Last Updated
- October 26, 2009
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)
- Other Identifiers
- 00026501304 (NY, Univera), 000560258006 (NY, Blue Cross Blue Shield), 02074257 (NY), 9511891 (Iha)