Individual
ABDUSSABUR BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 WEHRLE DR, SUITE 1, WILLIAMSVILLE, NY 14221-7037
(716) 276-2123
(716) 276-2129
Mailing address
1023 LAFAYETTE AVE, BUFFALO, NY 14209-1306
(716) 816-8873
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
280767
NY
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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