Provider Demographics
NPI:1003438714
Name:LINFORD, ISADORA FRAZAO (MD)
Entity Type:Individual
Prefix:DR
First Name:ISADORA
Middle Name:FRAZAO
Last Name:LINFORD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ISADORA
Other - Middle Name:CARVALHO
Other - Last Name:FRAZAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:955 MAIN ST STE 7230
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1121
Mailing Address - Country:US
Mailing Address - Phone:716-829-2012
Mailing Address - Fax:716-829-3999
Practice Address - Street 1:955 MAIN ST STE 7230
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203-1121
Practice Address - Country:US
Practice Address - Phone:716-829-2012
Practice Address - Fax:716-829-3999
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program