Individual
MR. BURNAGIE TAFARI WEBBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49 JUDSON ST, ROCHESTER, NY 14611
(585) 820-8106
Mailing address
49 JUDSON ST, ROCHESTER, NY 14611-3135
(585) 820-8106
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
332376
NY
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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