KEONE PILGRAM

BUFFALO, NY
NPI1659615409
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: NY  3019311)
Enumeration Date2012-11-18
Last Update Date2012-11-18
Business Address
Mr. KEONE PILGRAM LPN
102 DARTMOUTH AVE
BUFFALO, NY 14215-1006
Phone number: 716-603-7758
Mailing Address
Mr. KEONE PILGRAM LPN
102 DARTMOUTH AVE
BUFFALO, NY 14215-1006
Phone number: 716-603-7758