National Provider Identifier
Jennifer Lynn Vitaris, BACHELOR OF SCIENCE
Jennifer Lynn Vitaris, BACHELOR OF SCIENCE is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 710-4393.
Profile Overview
- NPI
- 1689296907
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 08, 2020
- Last Updated
- May 08, 2020
Practice Location
- 1050 Niagara St
- Buffalo, NY 14213-2001
Phone: (716) 710-4393
Mailing Address
- 156 Zittel St
- Buffalo, NY 14210-2461
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1689296907
- Entity Type
- Individual
- Last Name
- Vitaris
- First Name
- Jennifer
- Middle Name
- Lynn
- Credential
- BACHELOR OF SCIENCE
- Provider Other Last Name
- Durmaj
- Provider Other First Name
- Jennifer
- Provider Other Middle Name
- Lynn
- Provider Other Name Prefix Text
- Mrs.
- Provider Other Credential Text
- BACHELOR OF SCIENCE
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 156 Zittel St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-2461
- Mailing Country
- US
- Mailing Phone
- (716) 428-0321
- Practice Street Address
- 1050 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2001
- Practice Country
- US
- Practice Phone
- (716) 710-4393
- Practice Fax
- (716) 856-5614
- Enumeration Date
- May 08, 2020
- Last Updated
- May 08, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 08, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)