Individual
MUSTAFA S MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
843 TONAWANDA ST, BUFFALO, NY 14207-1447
(716) 697-7948
Mailing address
843 TONAWANDA ST, BUFFALO, NY 14207-1447
(716) 697-7948
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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