Provider Demographics
NPI:1982847331
Name:STREICHER, JAMIE FLAVIA (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:FLAVIA
Last Name:STREICHER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 248
Mailing Address - Street 2:
Mailing Address - City:ELLICOTTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14731-0248
Mailing Address - Country:US
Mailing Address - Phone:716-650-5516
Mailing Address - Fax:716-650-5515
Practice Address - Street 1:5007 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:DEPEW
Practice Address - State:NY
Practice Address - Zip Code:14043-4617
Practice Address - Country:US
Practice Address - Phone:716-650-5516
Practice Address - Fax:716-650-5515
Is Sole Proprietor?:No
Enumeration Date:2009-04-15
Last Update Date:2015-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY262975207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYJ400076360Medicare PIN