National Provider Identifier

Baw Su

Baw Su is listed in the NPPES registry with a primary specialty of Attendant Care Provider in N Tonawanda, NY and a listed phone number of (716) 628-6370.

NPI 1316560105N Tonawanda, NYAttendant Care Provider

Profile Overview

NPI
1316560105
Provider Type
Individual
Primary Specialty
Attendant Care Provider
Enumeration Date
May 27, 2020
Last Updated
May 27, 2020

Practice Location

  • 341 Oliver St
  • N Tonawanda, NY 14120-7227

Phone: (716) 628-6370

Specialties

  • Attendant Care Provider (3747A0650X)
Full Record
NPI
1316560105
Entity Type
Individual
Last Name
Su
First Name
Baw
Mailing Street Address
341 Oliver St
Mailing City
N Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-7227
Mailing Country
US
Practice Street Address
341 Oliver St
Practice City
N Tonawanda
Practice State
NY
Practice ZIP Code
14120-7227
Practice Country
US
Practice Phone
(716) 628-6370
Enumeration Date
May 27, 2020
Last Updated
May 27, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
May 27, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Attendant Care Provider (3747A0650X)