Individual
CASEY WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
126M LAWN AVE, BUFFALO, NY 14207-1817
(716) 828-5663
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
299666
NY
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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