| Daijha Fulgham Nurse Practitioner In Psychiatry Pllc | |
|
60 Hedley Pl Buffalo NY 14208-1061 | |
| (716) 341-9644 | |
| Not Available |
| Full Name | Daijha Fulgham Nurse Practitioner In Psychiatry Pllc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 60 Hedley Pl, Buffalo, New York |
| Authorized Official Name and Position | Daijha Caprice Fulgham (PNP) |
| Authorized Official Contact | 7163419644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daijha Fulgham Nurse Practitioner In Psychiatry Pllc 32 Calderwood Dr Buffalo NY 14215-1336 Ph: (716) 341-9644 | Daijha Fulgham Nurse Practitioner In Psychiatry Pllc 60 Hedley Pl Buffalo NY 14208-1061 Ph: (716) 341-9644 |
| NPI Number | 1366261018 |
|---|---|
| Provider Enumeration Date | 10/09/2024 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366261018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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