Most Relevant Information
Provider Data
| NPI Number: | 1003257494 |
| Provider Name: | ABDULHAKIM H SHIRE LPN NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 311ZA0620X |
| Specialty: | Custodial Care Facility |
| License Number: | 271676-1 |
Most Important Dates
| Enumeration Date: | 07/12/2013 |
| Last Updated: | 07/12/2013 |
Provider Practice Location
484 GRANT ST
BUFFALO
NY
142131145
Practice Location Phone/Fax
| Phone: | 7168867108 |
| Fax: |
Provider Mailing Location
484 GRANT ST
BUFFALO
NY
142131145
Provider Mailing Phone/Fax
| Phone: | 7168867108 |
| Fax: |