Healthcare Provider Details

I. General information

NPI: 1700690633
Provider Name (Legal Business Name): JULIANA MARIE ABEL FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 BIG TREE RD
ORCHARD PARK NY
14127-4116
US

IV. Provider business mailing address

5800 BIG TREE RD
ORCHARD PARK NY
14127-4116
US

V. Phone/Fax

Practice location:
  • Phone: 716-662-7337
  • Fax:
Mailing address:
  • Phone: 716-704-9376
  • Fax: 716-662-0641

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number355925
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: