National Provider Identifier
Jacqueline Diane Nowak, COTA
Jacqueline Diane Nowak, COTA is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 603-6930.
Profile Overview
- NPI
- 1700063138
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- January 28, 2008
- Last Updated
- October 07, 2015
Practice Location
- 3767 Delaware Ave
- Buffalo, NY 14217
Phone: (716) 603-6930
Mailing Address
- 34 Granger Place
- Buffalo, NY 14222-3723
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1700063138
- Entity Type
- Individual
- Last Name
- Nowak
- First Name
- Jacqueline
- Middle Name
- Diane
- Name Prefix
- Mrs.
- Credential
- COTA
- Mailing Street Address
- 34 Granger Place
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-3723
- Mailing Country
- US
- Mailing Phone
- (716) 603-6930
- Mailing Fax
- (716) 662-5700
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14217
- Practice Country
- US
- Practice Phone
- (716) 603-6930
- Enumeration Date
- January 28, 2008
- Last Updated
- October 07, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)