National Provider Identifier
Ayesha Fatin Samuel, LPN
Ayesha Fatin Samuel, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 939-2076.
Profile Overview
- NPI
- 1316276298
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- December 23, 2009
- Last Updated
- December 23, 2009
Practice Location
- 193 E Delavan Ave
- Buffalo, NY 14208-1234
Phone: (716) 939-2076
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1316276298
- Entity Type
- Individual
- Last Name
- Samuel
- First Name
- Ayesha
- Middle Name
- Fatin
- Credential
- LPN
- Mailing Street Address
- 193 E Delavan Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1234
- Mailing Country
- US
- Mailing Phone
- (716) 939-2076
- Practice Street Address
- 193 E Delavan Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14208-1234
- Practice Country
- US
- Practice Phone
- (716) 939-2076
- Enumeration Date
- December 23, 2009
- Last Updated
- December 23, 2009
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)