Provider Demographics
NPI:1710326632
Name:DURFEE, JULIA E (RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:E
Last Name:DURFEE
Suffix:
Gender:F
Credentials:RD, CDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2765 N FOREST RD
Mailing Address - Street 2:APT. A
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1533
Mailing Address - Country:US
Mailing Address - Phone:716-912-4558
Mailing Address - Fax:
Practice Address - Street 1:2765 N FOREST RD
Practice Address - Street 2:APT. A
Practice Address - City:GETZVILLE
Practice Address - State:NY
Practice Address - Zip Code:14068-1533
Practice Address - Country:US
Practice Address - Phone:716-912-4558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1050255133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered