Whalio Doctors

NPI 1003380528

Jessica Lynn Hafezi

Practitioner Nurse Practitioner Buffalo, NY

Practice location

Address
Elm and Carlton Streets, Buffalo, NY 14263-0001
Phone
(716) 845-2300
Mailing address
Elm and Carlton St, Buffalo, NY 14263-0001

Registered specialties

Nurse Practitioner Primary
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 343713 (NY)

Registry record

NPI
1003380528
Entity type
Individual
Sex (as registered)
Female
NPI issued
17 Jan 2019
Record last updated
14 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.