National Provider Identifier
Jennifer Powell, M.D.
Jennifer Powell, M.D. is listed in the NPPES registry with a primary specialty of Dermatology Physician in Buffalo, NY and a listed phone number of (716) 862-8748.
Profile Overview
- NPI
- 1629394382
- Provider Type
- Individual
- Primary Specialty
- Dermatology Physician
- Enumeration Date
- April 20, 2010
- Last Updated
- August 28, 2024
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-8748
Mailing Address
- 32 Saint Marys St
- Lancaster, NY 14086-2016
Specialties
- Dermatology Physician (207N00000X)
Full Record
- NPI
- 1629394382
- Entity Type
- Individual
- Last Name
- Powell
- First Name
- Jennifer
- Name Prefix
- Dr.
- Credential
- M.D.
- Provider Other Last Name
- Gall
- Provider Other First Name
- Jennifer
- Provider Other Name Prefix Text
- Dr.
- Provider Other Credential Text
- M.D.
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 32 Saint Marys St
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-2016
- Mailing Country
- US
- Mailing Phone
- (167) 954-0668
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-8748
- Enumeration Date
- April 20, 2010
- Last Updated
- August 28, 2024
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 28, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dermatology Physician (207N00000X)