National Provider Identifier

Ruby Shamburger

Ruby Shamburger is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 828-6694.

NPI 1013322593Buffalo, NYSpecialist

Profile Overview

NPI
1013322593
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 24, 2014
Last Updated
June 24, 2014

Practice Location

  • 165 Villa Ave
  • Buffalo, NY 14216-1340

Phone: (716) 828-6694

Specialties

  • Specialist (174400000X)
Full Record
NPI
1013322593
Entity Type
Individual
Last Name
Shamburger
First Name
Ruby
Provider Other Last Name
Wilson
Provider Other First Name
Ruby
Provider Other Credential Text
LMT
Provider Other Last Name Type Code
1
Mailing Street Address
165 Villa Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-1340
Mailing Country
US
Mailing Phone
(716) 828-6694
Practice Street Address
165 Villa Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-1340
Practice Country
US
Practice Phone
(716) 828-6694
Enumeration Date
June 24, 2014
Last Updated
June 24, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)