Individual
ANTHONY CURTISS WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.N.
Contact information
Practice address
59 GERALD AVE, BUFFALO, NY 14215-3338
(716) 948-7743
Mailing address
59 GERALD AVE, BUFFALO, NY 14215-3338
(716) 948-7743
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
322810
NY
Other
Enumeration date
08/17/2015
Last updated
08/18/2015
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