National Provider Identifier

Abdulhakim H Shire, LPN NURSE

Abdulhakim H Shire, LPN NURSE is listed in the NPPES registry with a primary specialty of Adult Care Home Facility in Buffalo, NY and a listed phone number of (716) 886-7108.

NPI 1003257494Buffalo, NYAdult Care Home Facility

Profile Overview

NPI
1003257494
Provider Type
Individual
Primary Specialty
Adult Care Home Facility
Enumeration Date
July 12, 2013
Last Updated
July 12, 2013

Practice Location

  • 484 Grant St
  • Buffalo, NY 14213-1145

Phone: (716) 886-7108

Specialties

  • Adult Care Home Facility (311ZA0620X)
Full Record
NPI
1003257494
Entity Type
Individual
Last Name
Shire
First Name
Abdulhakim
Middle Name
H
Credential
LPN NURSE
Provider Other Last Name
Shire
Provider Other First Name
Abdulhakim
Provider Other Middle Name
H
Provider Other Credential Text
12/16/1957
Provider Other Last Name Type Code
2
Mailing Street Address
484 Grant St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1145
Mailing Country
US
Mailing Phone
(716) 886-7108
Practice Street Address
484 Grant St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1145
Practice Country
US
Practice Phone
(716) 886-7108
Enumeration Date
July 12, 2013
Last Updated
July 12, 2013
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Care Home Facility (311ZA0620X)