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Anthony Desouza
Family Nurse Practitioner in Buffalo, New York
NPI 1265890149

Anthony Desouza is a Family Nurse Practitioner based in Merces, NY and is specialized in Family. Anthony Desouza practices in Buffalo, NY. The NPI Number for Anthony Desouza is 1265890149 and holds a License No. 340092 (New York).

The current practice location address for Anthony Desouza is 462 Grider St, Buffalo, NY and can be reached out via phone at 212-810-9755.

Location: 462 Grider St, Buffalo, NY, 40300-5
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265890149
Provider Name
Anthony Desouza
Credential
Provider Entity Type
Individual
Gender
Male
Address
462 Grider St, Buffalo, NY, 40300-5
Phone Number
212-810-9755
Fax Number
Provider Enumeration Date
02/05/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
462 Grider St
City
Buffalo
State
New York
Zip
14215-3021
Phone Number
212-810-9755
Fax Number
person
Provider Business Mailing Address Details
Address
462 Grider St
City
Buffalo
State
New York
Zip
14215-3021
Phone Number
212-810-9755
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
340092 (New York)
Definition
Definition to come...
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