Provider Demographics
NPI:1093584948
Name:ABUBAKAR, SAFIYA LADIDI
Entity Type:Individual
Prefix:
First Name:SAFIYA
Middle Name:LADIDI
Last Name:ABUBAKAR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1617 SYCAMORE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-2653
Mailing Address - Country:US
Mailing Address - Phone:717-379-5302
Mailing Address - Fax:
Practice Address - Street 1:900 S ARLINGTON AVE RM 133A
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5036
Practice Address - Country:US
Practice Address - Phone:717-379-5302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2023-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care