Provider Demographics
NPI:1629456470
Name:PEIRICK, JENNIFER JANE (DVM)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:JANE
Last Name:PEIRICK
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:DR
Other - First Name:JENNIFER
Other - Middle Name:JANE
Other - Last Name:WHITNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DVM
Mailing Address - Street 1:116 BIOMEDICAL EDUCATION BUILDING, 3435 MAIN ST.
Mailing Address - Street 2:SUNY @ BUFFALO, LAF
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14260
Mailing Address - Country:US
Mailing Address - Phone:716-829-6821
Mailing Address - Fax:
Practice Address - Street 1:116 BIOMEDICAL EDUCATION BUILDING, 3435 MAIN ST.
Practice Address - Street 2:SUNY @ BUFFALO, LAF
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260
Practice Address - Country:US
Practice Address - Phone:716-829-6821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-13
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY9325174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian