Individual provider · Type 1 NPI
Samuel Leonard Mole
General Practice Registered Nurse · Cheektowaga, NY
NPI number
1619664125
Active
Practice location
4635 Union Rd
Cheektowaga, NY 14225-1851
Mailing address
44 Albert Dr
Lancaster, NY 14086-2802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 49754101 (NY) |
General Practice Registered Nurse: Definition to come...
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About NPI 1619664125
Samuel Leonard Mole's National Provider Identifier is 1619664125, issued on Apr 24, 2023. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Cheektowaga, NY. The record was last updated on Apr 24, 2023.