National Provider Identifier

Rufus William Beverly Jr.

Rufus William Beverly Jr. is listed in the NPPES registry with a primary specialty of Registered Nurse in Buffalo, NY and a listed phone number of (716) 829-3204.

NPI 1215766985Buffalo, NYRegistered Nurse

Profile Overview

NPI
1215766985
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
July 30, 2024
Last Updated
August 05, 2024

Practice Location

  • 3435 Main St
  • Buffalo, NY 14214-3001

Phone: (716) 829-3204

Mailing Address

  • 66 Summer St Apt 2A
  • Buffalo, NY 14209-2225

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1215766985
Entity Type
Individual
Last Name
Beverly
First Name
Rufus
Middle Name
William
Name Suffix
Jr.
Mailing Street Address
66 Summer St Apt 2A
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14209-2225
Mailing Country
US
Mailing Phone
(646) 283-9045
Practice Street Address
3435 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-3001
Practice Country
US
Practice Phone
(716) 829-3204
Enumeration Date
July 30, 2024
Last Updated
August 05, 2024
Sex
Male
Sole Proprietor
Yes
Certification Date
August 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)