Individual provider · Type 1 NPI
Latoishanai Jeter
Multi-Specialty Clinic/Center · Buffalo, NY
NPI number
1609751429
Active
Practice location
1515 Kensington Ave
Buffalo, NY 14215-1436
Mailing address
236 Roslyn St
Buffalo, NY 14215-3941
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | None listed |
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1609751429
Latoishanai Jeter's National Provider Identifier is 1609751429, issued on Aug 11, 2025. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Buffalo, NY. The record was last updated on Aug 11, 2025.