National Provider Identifier

Jenal Willard, MS.ED.

Jenal Willard, MS.ED. is listed in the NPPES registry with a primary specialty of Specialist in Cheektowaga, NY and a listed phone number of (716) 505-5700.

NPI 1962765107Cheektowaga, NYSpecialist

Profile Overview

NPI
1962765107
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 22, 2012
Last Updated
June 22, 2012

Practice Location

  • 4635 Union RD
  • Cheektowaga, NY 14225-1851

Phone: (716) 505-5700

Mailing Address

  • 90 Temple Dr
  • Cheektowaga, NY 14225-3615

Specialties

  • Specialist (174400000X)
Full Record
NPI
1962765107
Entity Type
Individual
Last Name
Willard
First Name
Jenal
Credential
MS.ED.
Mailing Street Address
90 Temple Dr
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-3615
Mailing Country
US
Practice Street Address
4635 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 505-5700
Practice Fax
(716) 633-9531
Enumeration Date
June 22, 2012
Last Updated
June 22, 2012
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)