Difonzo, Carolyn

Difonzo, Carolyn is an individual health care provider with primary practice located at 7350 Porter Rd , Niagara Falls NY 14304-5705. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Difonzo, Carolyn can be contacted via phone (716) 332-1644.

Contact Information

Primary practice address
7350 Porter Rd Niagara Falls NY 14304-5705
Phone: (716) 332-1644
Fax: (716) 299-0775
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F 334650 1 New York

Profile Details

NPI number 1831115096
LBN Legal business name Difonzo, Carolyn
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jul 18th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831115096 NPPES
New York Other 00027338407 UNIVERA/EXCELLUS
New York Other 9513035 UNIVERA/EXCELLUS
New York Other 000560981002 UNIVERA/EXCELLUS

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