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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LATOISHANAI JETER

Active Sole Proprietor

LATOISHANAI JETER is a Multi-Specialty Clinic healthcare provider located in BUFFALO, New York. NPI 1609751429 is currently active in the NPPES registry. Verify at CMS.

Multi-Specialty Clinic · BUFFALO, NY

Registration Details

NPI Number
1609751429
Provider Type
Individual
Gender
Female
NPI Issued
Aug 11, 2025 (1.0177524376539 yrs)
Last Updated
Aug 11, 2025
Sole Proprietor
Yes

Practice Information

Address
1515 KENSINGTON AVE
BUFFALO, NY, 142151436
Browse NY providers · Browse ZIP 14215
Phone
7165103645
Primary Specialty
Multi-Specialty Clinic
261QM1300X
Additional Specialty
Case Manager
Additional Specialty
Multi-Specialty Clinic
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.