Provider Demographics
NPI:1003865700
Name:DUNFORD, DENISE (NP)
Entity type:Individual
Prefix:PROF
First Name:DENISE
Middle Name:
Last Name:DUNFORD
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14220-2846
Mailing Address - Country:US
Mailing Address - Phone:716-826-4129
Mailing Address - Fax:716-826-5201
Practice Address - Street 1:BUFFALO GENERAL HOSPITAL
Practice Address - Street 2:100 HIGH ST
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-859-1993
Practice Address - Fax:716-859-1555
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF331252363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily