Individual
AIME MINEGA SHABANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 7TH ST, UNIT 621, BUFFALO, NY 14201-2245
(602) 486-2173
Mailing address
10 7TH ST, UNIT 621, BUFFALO, NY 14201-2245
(602) 486-2173
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
693298745
NY
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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