National Provider Identifier
Alexandra Isabella Yacub
Alexandra Isabella Yacub is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 529-3020.
Profile Overview
- NPI
- 1003523754
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- November 02, 2022
- Last Updated
- September 19, 2024
Practice Location
- 1021 Broadway St
- Buffalo, NY 14212-1460
Phone: (716) 529-3020
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1003523754
- Entity Type
- Individual
- Last Name
- Yacub
- First Name
- Alexandra
- Middle Name
- Isabella
- Mailing Street Address
- 1021 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1460
- Mailing Country
- US
- Mailing Phone
- (716) 529-3020
- Mailing Fax
- (716) 529-3040
- Practice Street Address
- 1021 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1460
- Practice Country
- US
- Practice Phone
- (716) 529-3020
- Practice Fax
- (716) 529-3040
- Enumeration Date
- November 02, 2022
- Last Updated
- September 19, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 19, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)