Provider Demographics
NPI:1477981017
Name:COX, DAVID BRADY (RN)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:BRADY
Last Name:COX
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 INWOOD PL
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14209-1023
Mailing Address - Country:US
Mailing Address - Phone:716-566-0733
Mailing Address - Fax:
Practice Address - Street 1:72 INWOOD PL
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14209-1023
Practice Address - Country:US
Practice Address - Phone:716-566-0733
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY677034163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse