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Organization
MOBILE PRIMARY CARE FAMILY NURSE PRACTITIONERS, PLLC
Active
Organization
MOBILE PRIMARY CARE FAMILY NURSE PRACTITIONERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY SHAFFER N.P. (DIRECTOR)
(716) 893-1010
Entity
Organization
Contact information
Practice address
640 ELLICOTT ST, SUITE 105, BUFFALO, NY 14203-1245
(716) 893-1010
(716) 893-1002
Mailing address
40 LA RIVIERE DR STE 201, BUFFALO, NY 14202-4344
(716) 893-1010
(716) 893-1002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
333122
NY
Other
Enumeration date
05/30/2007
Last updated
05/09/2022
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