Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician |
NPI | 1144740473 |
---|---|
Provider Name | Nabeela Ahmed |
First Address | Cheektowaga, NY 14225-2661 |
Second Address | Cheektowaga, NY 14225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2017 |
Last Update Date | 27/06/2017 |