National Provider Identifier

Imani Roscoe

Imani Roscoe is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 239-3794.

NPI 1336817881Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1336817881
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 31, 2021
Last Updated
August 31, 2021

Practice Location

  • 599 Winspear Ave
  • Buffalo, NY 14215-1209

Phone: (716) 239-3794

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1336817881
Entity Type
Individual
Last Name
Roscoe
First Name
Imani
Mailing Street Address
599 Winspear Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-1209
Mailing Country
US
Practice Street Address
599 Winspear Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1209
Practice Country
US
Practice Phone
(716) 239-3794
Enumeration Date
August 31, 2021
Last Updated
August 31, 2021
Sex
Female
Sole Proprietor
No
Certification Date
August 31, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)