Jennifer G Henderson Family Practice
462 Grider St, Buffalo, NY 14215-3021


Jennifer G Henderson is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1902123888. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4587888268. The primary specialty is FAMILY PRACTICE. The organization is ACADEMIC MEDICINE SERVICES, INC.. The address is 462 Grider St, Buffalo, NY 14215-3021. The zip code is 14215.


Jennifer G Henderson · 462 Grider St, Buffalo, NY 14215-3021

Nation Provider ID 1902123888
PAC ID by PECOS 4587888268
Professional Enrollment ID I20140827002280
Last Name HENDERSON
First Name JENNIFER
Middle Name G
Gender F
Medical School Name OTHER
Graduation Year 2010
Primary Specialty FAMILY PRACTICE
Secondary Specialties OSTEOPATHIC MANIPULATIVE MEDICINE, SLEEP MEDICINE
Primary Specialty ACADEMIC MEDICINE SERVICES, INC.
Phone Number 7168984803
Group Practice PAC ID 0941105241
Number of Group Practice Members 199
Address 462 GRIDER ST
BUFFALO, NY 142153021
Claims Based Hospital Affiliation Claim Control Number (CCN): 330102
Legal Business Name: KENMORE MERCY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330078
Legal Business Name: SISTERS OF CHARITY HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 330005
Legal Business Name: KALEIDA HEALTH
Professional accepts Medicare Assignment Y
Report Quality Measures Y

street_number: 462
route: Grider Street (Grider St)
neighborhood, political: Grider
locality, political: Buffalo
admin_level_2, political: Erie County
admin_level_1, political: New York (NY)
country, political: United States (US)
postal_code: 14215
postal_code_suffix: 3021
types : street_address
latitude: 42.9254225
longitude: -78.8313324
latlng: (42.9254225, -78.8313324)


Academic Medicine Services, Inc. · Medicare Physician

Name Address Specialty
Rabi Yacoub 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
David Zlotnick 462 Grider St, Buffalo, NY 14215-3021 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Ellen Rich 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Anshu Bais 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Denise Dennis Coke 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Eileen Daetsch 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Paula Burkard 462 Grider St, Buffalo, NY 14215-3021 GASTROENTEROLOGY
Maureen Geary 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
David Milling 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Rachel Ludwig 100 High St, Buffalo, NY 14203-1126 NURSE PRACTITIONER
Richard Quigg 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Scott Gruarin 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Kenyani Davis 1020 Youngs Rd, Williamsville, NY 14221-2698 INTERNAL MEDICINE
Sandeep Samuel 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Michael Aronica 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Daniel Miori 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Angel Mier Hicks 100 High St, Buffalo, NY 14203-1126 INTERNAL MEDICINE
Shirley Chang 462 Grider St, Buffalo, NY 14215-3021 NEPHROLOGY
Sarah Dixon 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Ajay Chaudhuri 462 Grider St, Buffalo, NY 14215-3021 ENDOCRINOLOGY

Zip 14215 · Family Practice · Medicare Physician

Name Address Specialty
David Holmes 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Albert Addesa 1616 Kensington Ave, Buffalo, NY 14215-1433 FAMILY PRACTICE
David Thomas 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Daniel Morelli 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Min Yang 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Masashi Ohira 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Robert Lugo 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Gregory Schenk 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Patrick Glasgow 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Diana Wilkins 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Roseanne Berger 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Fahim Tazwar 462 Grider St, Buffalo, NY 14215-3021 FAMILY PRACTICE
Kim Griswold 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Mohammadreza Azadfard 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Jacqueline Heim 1616 Kensington Ave, Buffalo, NY 14215-1433 FAMILY PRACTICE
Zuzanna Rozmus 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Andrea Manyon 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
David Newberger 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Jennifer Corliss 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Ranjit Singh 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE

Zip 14215 · Medicare Physician

Name Address Specialty
Michael Adragna 462 Grider St, Buffalo, NY 14215-3021 PSYCHIATRY
Eileen Daetsch 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Joseph Caruana 462 Grider St, Buffalo, NY 14215-3021 GENERAL SURGERY
Saurabh Malhotra 462 Grider St, Buffalo, NY 14215-3021 CARDIOVASCULAR DISEASE (CARDIOLOGY)
Christopher Deline 462 Grider St, Buffalo, NY 14215-3021 NEUROLOGY
Daniel Ford 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Khalid Kakish 462 Grider St, Buffalo, NY 14215-3021 PEDIATRIC MEDICINE
Daniel Morelli 462 Grider St 9th Fl, Buffalo, NY 14215-3021 FAMILY PRACTICE
Sara Anwar 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Daniel Miori 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Shawn Cantie 462 Grider St, Buffalo, NY 14215-3021 ANESTHESIOLOGY
Susan Glose 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Augustine Ryan 462 Grider St, Buffalo, NY 14215-3021 ENDOCRINOLOGY
Edna Stercula 462 Grider St, Buffalo, NY 14215-3021 CERTIFIED REGISTERED NURSE ANESTHETIST
Lisa Kalinka 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER
Christina Scovazzo 462 Grider St, Buffalo, NY 14215-3021 PHYSICIAN ASSISTANT
Brian Duffy 462 Grider St, Buffalo, NY 14215-3021 ANESTHESIOLOGY
Eyad Wohaibi 462 Grider St, Buffalo, NY 14215-3021 GENERAL SURGERY
John Fudyma 462 Grider St, Buffalo, NY 14215-3021 INTERNAL MEDICINE
Noelle Luterek 462 Grider St, Buffalo, NY 14215-3021 NURSE PRACTITIONER