Individual provider · Type 1 NPI
Joel Mamon
Family Nurse Practitioner · Buffalo, NY
NPI number
1346590296
Active
Practice location
818 Ellicott St
Buffalo, NY 14203-1021
Mailing address
2069 Two Rod Rd
Marilla, NY 14102-9734
Other practice locations
- 2069 Two Rod Rd, Marilla, NY 14102-9734 · (716) 863-2153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 660142-1 (NY) |
| Family Nurse Practitioner Primary | 363LF0000X | F343353-1 (NY) |
Family Nurse Practitioner: Definition to come...
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About NPI 1346590296
Joel Mamon's National Provider Identifier is 1346590296, issued on Sep 18, 2012. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Buffalo, NY. The record was last updated on Jul 23, 2019.