Provider Demographics
NPI:1164748018
Name:DEARING, NATALIE JAYNE
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:JAYNE
Last Name:DEARING
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 1:770 W FERRY ST
Mailing Address - Street 2:APARTMENT # 22A
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-1692
Mailing Address - Country:US
Mailing Address - Phone:703-589-5602
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY AT BUFFALO SCHOOL OF PHARMACY
Practice Address - Street 2:225 COOKE HALL
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260-0001
Practice Address - Country:US
Practice Address - Phone:716-668-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-18
Last Update Date:2010-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053834183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist