Provider Demographics
NPI:1689715583
Name:SCHANK, JOHN NICHOLAS (RN, MS, NP)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:NICHOLAS
Last Name:SCHANK
Suffix:
Gender:M
Credentials:RN, MS, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PAULA DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-4432
Mailing Address - Country:US
Mailing Address - Phone:716-681-8256
Mailing Address - Fax:716-829-2564
Practice Address - Street 1:3435 MAIN ST
Practice Address - Street 2:UB STUDENT HEALTH CENTER ( MICHAEL HALL)
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-3001
Practice Address - Country:US
Practice Address - Phone:716-829-3316
Practice Address - Fax:716-829-2564
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY278538163W00000X
NYF330762363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily