Provider Demographics
NPI:1801538723
Name:NATALONE, JACLYN (DO)
Entity type:Individual
Prefix:
First Name:JACLYN
Middle Name:
Last Name:NATALONE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3950 E ROBINSON RD STE 207
Mailing Address - Street 2:
Mailing Address - City:WEST AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2044
Mailing Address - Country:US
Mailing Address - Phone:716-564-1111
Mailing Address - Fax:716-929-0194
Practice Address - Street 1:3950 E ROBINSON RD STE 207
Practice Address - Street 2:
Practice Address - City:WEST AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2044
Practice Address - Country:US
Practice Address - Phone:716-564-1111
Practice Address - Fax:716-929-0194
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-11
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY339063207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine