Healthcare Provider Details

I. General information

NPI: 1801538723
Provider Name (Legal Business Name): JACLYN NATALONE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/11/2022
Last Update Date: 08/19/2025
Certification Date: 08/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 E ROBINSON RD STE 207
WEST AMHERST NY
14228-2044
US

IV. Provider business mailing address

3950 E ROBINSON RD STE 207
WEST AMHERST NY
14228-2044
US

V. Phone/Fax

Practice location:
  • Phone: 716-564-1111
  • Fax: 716-929-0194
Mailing address:
  • Phone: 716-564-1111
  • Fax: 716-929-0194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number339063
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: