Dr. Jennifer Ann Wisnoski, M.D.
Family Medicine in Williamsville, NY. Individual provider (NPI-1).
NPI number1790740637
StatusActive
Last updated in NPPESDec 20, 2021
Details
- NPI
- 1790740637
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jennifer Ann Wisnoski
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 20, 2006
- Certification date
- Dec 20, 2021
- Last updated
- Dec 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 230380 | NY | Yes |
Practice location
295 Essjay RdWilliamsville, NY 14221-8216
Phone 716-565-1234 · Fax 716-556-1246
Mailing address
425 Essjay Rd Ste 170Williamsville, NY 14221-8235
Phone 716-630-1219 · Fax 716-817-1726
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