Individual
KANWARBIR KAUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-5973
Mailing address
504 31ST ST, NIAGARA FALLS, NY 14301-2542
(716) 622-0576
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
310207
NY
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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