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NPI Code Detail

MEDICARE: ABDULHAKIM H SHIRE LPN NURSE

MEDICARE: ABDULHAKIM H SHIRE LPN NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility271676-1NY

General Provider Information

NPI Number : 1003257494
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABDULHAKIM H SHIRE LPN NURSE
Provider Business Mailing Address
First Line : 484 GRANT ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-1145
Country : US
Telephone Number : 716-886-7108
Fax Number :
Provider Business Practice Location Address
First Line : 484 GRANT ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-1145
Country : US
Telephone Number : 716-886-7108
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2013
Last Update Date : 05/11/2026

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