Mr. Jerry L Corp II
Nurse Practitioner - Psychiatric/Mental Health
255 Delaware Ave
Buffalo
, New York 14202-2016
Mr. Jerry L Corp II
Nurse Practitioner - Psychiatric/Mental Health
255 Delaware Ave
Buffalo
, New York 14202-2016
(716) 884-0888
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Mr. Jerry L Corp II
- 255 Delaware Ave
- Buffalo, NY
- Zip : 14202-2016
- Phone : (716) 884-0888
Second Address
- Mr. Jerry L Corp II
- 255 Delaware Ave
- Buffalo, NY
- Zip : 14202-2016
- Phone : (716) 884-0888
Reviews
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Is Mr. Jerry L Corp II a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 402647 | NY |
National Provider Identifier
| NPI | 1003261322 |
|---|---|
| Provider Name | Mr. Jerry L Corp II |
| First Address | Buffalo, NY 14202-2016 |
| Second Address | Buffalo, NY 14202-2016 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/04/2016 |
| Last Update Date | 07/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.