Provider Demographics
NPI:1083850978
Name:DARBY, DORTHY HYACINTH
Entity Type:Individual
Prefix:
First Name:DORTHY
Middle Name:HYACINTH
Last Name:DARBY
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 1:409 BEDFORD RD
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-3403
Mailing Address - Country:US
Mailing Address - Phone:518-393-0371
Mailing Address - Fax:
Practice Address - Street 1:409 BEDFORD RD
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-3403
Practice Address - Country:US
Practice Address - Phone:518-393-0371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-23
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY495628-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse