Provider Demographics
NPI:1891543922
Name:CURRY, AMATULLAH DACARIANNA (LPN)
Entity type:Individual
Prefix:MS
First Name:AMATULLAH
Middle Name:DACARIANNA
Last Name:CURRY
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:DACARIANNA
Other - Middle Name:JEAN
Other - Last Name:CURRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:33 BLAKE ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14211-1813
Mailing Address - Country:US
Mailing Address - Phone:585-825-8904
Mailing Address - Fax:
Practice Address - Street 1:33 BLAKE ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14211-1813
Practice Address - Country:US
Practice Address - Phone:585-825-8904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY332049164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse