Individual
ABA FYNN-AIKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3802 SENECA ST, WEST SENECA, NY 14224-3433
(716) 677-5418
Mailing address
3802 SENECA ST, WEST SENECA, NY 14224-3433
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
F405298
NY
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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