National Provider Identifier
Jennifer Louise Trask, M.D.
Jennifer Louise Trask, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Williamsville, NY and a listed phone number of (716) 633-6988.
Profile Overview
- NPI
- 1891733903
- Provider Type
- Individual
- Primary Specialty
- Pediatrics Physician
- Enumeration Date
- June 02, 2006
- Last Updated
- July 08, 2007
Practice Location
- 6044 Main St
- Suite 100
- Williamsville, NY 14221-6883
Phone: (716) 633-6988
Mailing Address
- 355 Nassau Ave
- Kenmore, NY 14217-2150
Specialties
- Pediatrics Physician (208000000X)
Full Record
- NPI
- 1891733903
- Entity Type
- Individual
- Last Name
- Trask
- First Name
- Jennifer
- Middle Name
- Louise
- Name Prefix
- Dr.
- Credential
- M.D.
- Mailing Street Address
- 355 Nassau Ave
- Mailing City
- Kenmore
- Mailing State
- NY
- Mailing ZIP Code
- 14217-2150
- Mailing Country
- US
- Mailing Phone
- (716) 876-0330
- Practice Street Address
- 6044 Main St
- Practice Address Line 2
- Suite 100
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-6883
- Practice Country
- US
- Practice Phone
- (716) 633-6988
- Practice Fax
- (716) 631-8690
- Enumeration Date
- June 02, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- X
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatrics Physician (208000000X)