Most Relevant Information
Provider Data
| NPI Number: | 1003258146 |
| Provider Name: | JESSICA ZIVE MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2013 |
| Last Updated: | 07/17/2013 |
Provider Practice Location
77 GOODELL ST, 2ND FLOOR, SUITE 240T
DEPARTMENT OF FAMILY MEDICINE, UNIVERSITY AT BUFFALO
BUFFALO
NY
14203
Practice Location Phone/Fax
| Phone: | 7168167258 |
| Fax: |
Provider Mailing Location
77 GOODELL ST, 2ND FLOOR, SUITE 240T
DEPARTMENT OF FAMILY MEDICINE, UNIVERSITY AT BUFFALO
BUFFALO
NY
14203
Provider Mailing Phone/Fax
| Phone: | 7168167258 |
| Fax: |