National Provider Identifier

Jacqueline McBride

Jacqueline McBride is listed in the NPPES registry with a primary specialty of Specialist in Lockport, NY and a listed phone number of (716) 439-7569.

NPI 1932461589Lockport, NYSpecialist

Profile Overview

NPI
1932461589
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 11, 2012
Last Updated
June 11, 2012

Practice Location

  • 5467 Upper Mountain RD
  • Lockport, NY 14094-1854

Phone: (716) 439-7569

Mailing Address

  • 2833 W Lake RD
  • Wilson, NY 14172-9626

Specialties

  • Specialist (174400000X)
Full Record
NPI
1932461589
Entity Type
Individual
Last Name
McBride
First Name
Jacqueline
Mailing Street Address
2833 W Lake RD
Mailing City
Wilson
Mailing State
NY
Mailing ZIP Code
14172-9626
Mailing Country
US
Practice Street Address
5467 Upper Mountain RD
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-1854
Practice Country
US
Practice Phone
(716) 439-7569
Enumeration Date
June 11, 2012
Last Updated
June 11, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)