Individual
MRS. SHAJUANA TAKIA DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Mailing address
184 BARTON ST, BUFFALO, NY 14213-1573
(716) 881-6191
(716) 881-6247
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
20120179
NY
363AM0700X
Medical Physician Assistant
Primary
010856-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3229967
—
NY
Enumeration date
07/21/2010
Last updated
10/28/2015
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