Facts
- Status
- A
- Credential
- RNFA RN First assist
- Type
- Individual
- Enumeration date
- 2016-09-14
- Last updated
- 2016-09-14
Licenses
- License NY
- 3001061
Location
- Practice location
- 112 GREEN FOREST CT
- City
- EAST AMHERST NY
- Postal code
- 140511374
- Phone
- 716-479-1448
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.