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Jeanette L Figueroa

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NPI Number Detailed Information

Provider Information:

Name: Jeanette L Figueroa
Gender: F
Provider License Number If Given: 231875

NPI Information:

NPI: 1710972245
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 9/6/2019

Provider Business Mailing Address:

Address: PO BOX 488
Buffalo, NY 14240
Phone Number:
Fax Number:

Provider Business Practice Location Address:

Address: 5844 SOUTHWESTERN BLVD STE 500
Hamburg, NY 14075
Phone Number: 7166465500
Fax Number:

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: NY

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