National Provider Identifier
Jill Tirabassi, MD MPH
Jill Tirabassi, MD MPH is listed in the NPPES registry with a primary specialty of Family Medicine Physician in Buffalo, NY and a listed phone number of (716) 831-8612.
Profile Overview
- NPI
- 1720345606
- Provider Type
- Individual
- Primary Specialty
- Family Medicine Physician
- Enumeration Date
- April 18, 2012
- Last Updated
- August 02, 2022
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 831-8612
Specialties
- Family Medicine Physician (207Q00000X)
- Public Health & General Preventive Medicine Physician (2083P0901X)
- Sports Medicine (Family Medicine) Physician (207QS0010X)
Full Record
- NPI
- 1720345606
- Entity Type
- Individual
- Last Name
- Tirabassi
- First Name
- Jill
- Credential
- MD MPH
- Mailing Street Address
- 462 Grider St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14215-3021
- Mailing Country
- US
- Mailing Phone
- (716) 831-8612
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 831-8612
- Enumeration Date
- April 18, 2012
- Last Updated
- August 02, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 02, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Medicine Physician (207Q00000X), Public Health & General Preventive Medicine Physician (2083P0901X), Sports Medicine (Family Medicine) Physician (207QS0010X)