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Organization

DAIJHA FULGHAM NURSE PRACTITIONER IN PSYCHIATRY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DAIJHA CAPRICE FULGHAM NP (PNP)
(716) 341-9644
Entity
Organization

Contact information

Practice address
60 HEDLEY PL, BUFFALO, NY 14208-1061
(716) 341-9644
Mailing address
32 CALDERWOOD DR, BUFFALO, NY 14215-1336
(716) 341-9644

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary

Other

Enumeration date
10/09/2024
Last updated
10/09/2024
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