Individual
HAZIM GAZY SHWANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS NUTRITIONIST
Contact information
Practice address
250 IDEAL ST, BUFFALO, NY 14206-1121
(716) 228-7218
Mailing address
250 IDEAL ST, BUFFALO, NY 14206-1121
(716) 228-7218
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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