Individual
ALEXANDRA ISABELLA YACUB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 529-3020
(716) 529-3040
Mailing address
1021 BROADWAY ST, BUFFALO, NY 14212-1460
(716) 529-3020
(716) 529-3040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F350635
NY
Other
Enumeration date
11/02/2022
Last updated
09/19/2024
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