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NPI Code Detail

MEDICARE: MICHELE M NENOFF PA-C

MEDICARE:   MICHELE M NENOFF  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0117789NY

General Provider Information

NPI Number : 1831175074
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE M NENOFF PA-C
Provider Business Mailing Address
First Line : 818 ELLICOTT ST
Second Line :
City : BUFFALO
State : NY
Zip : 14203-1021
Country : US
Telephone Number : 716-323-2000
Fax Number :
Provider Business Practice Location Address
First Line : 565 ABBOTT RD
Second Line :
City : BUFFALO
State : NY
Zip : 14220-2039
Country : US
Telephone Number : 716-828-2623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 10/22/2019

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Directions to “ MICHELE M NENOFF PA-C” Practice Location

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