Healthcare Provider Details

I. General information

NPI: 1437012309
Provider Name (Legal Business Name): CHUKI NAYLOR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3842 HARLEM RD STE 400
BUFFALO NY
14215-1935
US

IV. Provider business mailing address

3842 HARLEM RD STE 400
BUFFALO NY
14215-1935
US

V. Phone/Fax

Practice location:
  • Phone: 716-574-3804
  • Fax:
Mailing address:
  • Phone: 716-574-3804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number358439
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: