National Provider Identifier
Jessica Lee Bortel, M.D.
Jessica Lee Bortel, M.D. is listed in the NPPES registry with a primary specialty of Child & Adolescent Psychiatry Physician in Buffalo, NY and a listed phone number of (716) 898-4221.
Profile Overview
- NPI
- 1780028621
- Provider Type
- Individual
- Primary Specialty
- Child & Adolescent Psychiatry Physician
- Enumeration Date
- April 22, 2013
- Last Updated
- October 02, 2020
Practice Location
- 462 Grider St
- Ecmc, #1184-A
- Buffalo, NY 14215-3021
Phone: (716) 898-4221
Mailing Address
- 1010 E And West RD
- West Seneca, NY 14224-3602
Specialties
- Child & Adolescent Psychiatry Physician (2084P0804X)
Full Record
- NPI
- 1780028621
- Entity Type
- Individual
- Last Name
- Bortel
- First Name
- Jessica
- Middle Name
- Lee
- Credential
- M.D.
- Mailing Street Address
- 1010 E And West RD
- Mailing City
- West Seneca
- Mailing State
- NY
- Mailing ZIP Code
- 14224-3602
- Mailing Country
- US
- Mailing Phone
- (716) 677-7109
- Practice Street Address
- 462 Grider St
- Practice Address Line 2
- Ecmc, #1184-A
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-4221
- Practice Fax
- (716) 898-4538
- Enumeration Date
- April 22, 2013
- Last Updated
- October 02, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- October 02, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Child & Adolescent Psychiatry Physician (2084P0804X)