Individual
MRS. DILAFRUZ USMAN ELNASSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPN-C
Contact information
Practice address
3332 WALDEN AVE, DEPEW, NY 14043-2400
(716) 668-7051
Mailing address
3332 WALDEN AVE, DEPEW, NY 14043-2400
(716) 668-7051
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F307753-1
NY
Other
Enumeration date
02/06/2017
Last updated
04/19/2017
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