Individual
MOHAMMED MOMIN ULLAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGPCNP
Contact information
Practice address
2200 GENESEE ST, BUFFALO, NY 14211-1947
(716) 895-2200
(716) 895-3300
Mailing address
31 NORMAN PL, AMHERST, NY 14226-4231
(347) 444-7043
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
712521-1
NY
Other
Enumeration date
06/09/2020
Last updated
09/14/2022
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