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Individual

MR. FURQAN AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 986-9199
Mailing address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 986-9199

Taxonomy

Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
614518
NY
363LF0000X
Family Nurse Practitioner
Primary
336919
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03462159
NY
Enumeration date
05/07/2012
Last updated
08/20/2012
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