National Provider Identifier

Safa Fontain

Safa Fontain is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 292-9166.

NPI 1811856883Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1811856883
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
January 16, 2026
Last Updated
January 16, 2026

Practice Location

  • 34 Tioga St
  • Buffalo, NY 14216-2719

Phone: (716) 292-9166

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1811856883
Entity Type
Individual
Last Name
Fontain
First Name
Safa
Mailing Street Address
34 Tioga St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14216-2719
Mailing Country
US
Mailing Phone
(716) 292-9166
Practice Street Address
34 Tioga St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14216-2719
Practice Country
US
Practice Phone
(716) 292-9166
Enumeration Date
January 16, 2026
Last Updated
January 16, 2026
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
January 16, 2026
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)