Jill Fennell
Hospitalist in Buffalo, NY. Individual provider (NPI-1).
NPI number1689084485
StatusActive
Last updated in NPPESJan 13, 2021
Details
- NPI
- 1689084485
- Entity type
- Individual (NPI-1)
- Name
- Jill Fennell
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 1, 2014
- Certification date
- Jan 13, 2021
- Last updated
- Jan 13, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 290206 | NY | Yes |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 290206 | NY |
Practice location
818 Ellicott StBuffalo, NY 14203-1021
Phone 716-323-0034 · Fax 716-323-0292
Mailing address
1001 Main St Fl 5Buffalo, NY 14203-1009
Phone 716-323-0034 · Fax 716-323-0292
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