Individual
THADDE HABONIMANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2276
Mailing address
293 RAMBLING RD, EAST AMHERST, NY 14051-1358
(717) 622-8051
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
690292-01
NY
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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