Individual
MRS. KHALIFAH LUTFIYYAH GLOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
158 CRESTWOOD LN, WILLIAMSVILLE, NY 14221-1463
(716) 807-7286
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F311187-01
NY
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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