National Provider Identifier

Keisha Samuels

Keisha Samuels is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 800-7252.

NPI 1073153128Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1073153128
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 07, 2020
Last Updated
January 07, 2020

Practice Location

  • 2092 Bailey Ave
  • Buffalo, NY 14211-2057

Phone: (716) 800-7252

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1073153128
Entity Type
Individual
Last Name
Samuels
First Name
Keisha
Mailing Street Address
2092 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14211-2057
Mailing Country
US
Mailing Phone
(716) 800-7252
Practice Street Address
2092 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-2057
Practice Country
US
Practice Phone
(716) 800-7252
Enumeration Date
January 07, 2020
Last Updated
January 07, 2020
Sex
Female
Sole Proprietor
No
Certification Date
January 07, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)