National Provider Identifier

Samuel Leonard Mole

Samuel Leonard Mole is listed in the NPPES registry with a primary specialty of General Practice Registered Nurse in Cheektowaga, NY and a listed phone number of (716) 633-7574.

NPI 1619664125Cheektowaga, NYGeneral Practice Registered Nurse

Profile Overview

NPI
1619664125
Provider Type
Individual
Primary Specialty
General Practice Registered Nurse
Enumeration Date
April 24, 2023
Last Updated
April 24, 2023

Practice Location

  • 4635 Union RD
  • Cheektowaga, NY 14225-1851

Phone: (716) 633-7574

Mailing Address

  • 44 Albert Dr
  • Lancaster, NY 14086-2802

Specialties

  • General Practice Registered Nurse (163WG0000X)
Full Record
NPI
1619664125
Entity Type
Individual
Last Name
Mole
First Name
Samuel
Middle Name
Leonard
Name Prefix
Mr.
Mailing Street Address
44 Albert Dr
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-2802
Mailing Country
US
Mailing Phone
(716) 535-0329
Practice Street Address
4635 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1851
Practice Country
US
Practice Phone
(716) 633-7574
Enumeration Date
April 24, 2023
Last Updated
April 24, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 24, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
General Practice Registered Nurse (163WG0000X)