Most Relevant Information
Provider Data
| NPI Number: | 1003658055 |
| Provider Name: | YASSIN ABDIKADIR |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: | CRPA-P-7796 |
Most Important Dates
| Enumeration Date: | 06/11/2024 |
| Last Updated: | 07/31/2024 |
Provider Practice Location
100 E TUPPER ST
BUFFALO
NY
142031315
Practice Location Phone/Fax
| Phone: | 7165396743 |
| Fax: | 7168844938 |
Provider Mailing Location
227 THORN AVE
ORCHARD PARK
NY
141272600
Provider Mailing Phone/Fax
| Phone: | 7166622040 |
| Fax: | 7166620019 |