Individual
MS. FAYE E TABER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4955 N BAILEY AVE STE 214, BUFFALO, NY 14226-1206
(716) 982-1548
(208) 684-7112
Mailing address
4955 N BAILEY AVE STE 214, BUFFALO, NY 14226-1206
(716) 320-0629
(208) 684-7112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
401584
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03625005
—
NY
Enumeration date
08/14/2007
Last updated
04/15/2024
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