National Provider Identifier

Jenna Bezilla

Jenna Bezilla is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 856-2587.

NPI 1679001176Buffalo, NYSocial Worker

Profile Overview

NPI
1679001176
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
May 26, 2017
Last Updated
May 26, 2017

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 856-2587

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1679001176
Entity Type
Individual
Last Name
Bezilla
First Name
Jenna
Mailing Street Address
430 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14201-1886
Mailing Country
US
Mailing Phone
(716) 856-2587
Mailing Fax
(716) 856-2608
Practice Street Address
430 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1886
Practice Country
US
Practice Phone
(716) 856-2587
Practice Fax
(716) 856-2587
Enumeration Date
May 26, 2017
Last Updated
May 26, 2017
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)