Individual
MR. MAURICE WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
852 KENSINGTON AVE, BUFFALO, NY 14215-2707
(716) 948-5058
Mailing address
852 KENSINGTON AVE, BUFFALO, NY 14215-2707
(716) 948-5058
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05525755
—
NY
Enumeration date
04/08/2020
Last updated
04/08/2020
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