Provider Demographics
NPI:1114920345
Name:DEMPSEY, DAVID JOSEPH (DNP FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOSEPH
Last Name:DEMPSEY
Suffix:
Gender:M
Credentials:DNP FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1467 COUNTY ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:NORTH BANGOR
Mailing Address - State:NY
Mailing Address - Zip Code:12966-2817
Mailing Address - Country:US
Mailing Address - Phone:518-483-0233
Mailing Address - Fax:
Practice Address - Street 1:1467 COUNTY ROUTE 22
Practice Address - Street 2:1467 COUNTY ROUTE 22
Practice Address - City:NORTH BANGOR
Practice Address - State:NY
Practice Address - Zip Code:12966
Practice Address - Country:US
Practice Address - Phone:518-483-0233
Practice Address - Fax:518-240-4563
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA69122-3368363LF0000X
NY334889363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYRB0953OtherAHMC MEDICARE NUMBER
LA1545350Medicaid
LA5P040Medicare ID - Type UnspecifiedMEDICARE
LAS90992Medicare UPIN