MEDICARE: MR. DAVID JOSEPH DEMPSEY DNP FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	69122-3368	LA
2	363LF0000X	Family Nurse Practitioner	334889	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	RB0953	OTHER	NY	AHMC MEDICARE NUMBER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114920345
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DAVID JOSEPH DEMPSEY DNP FNP-BC

Provider Business Mailing Address
First Line	:	1467 COUNTY ROUTE 22
Second Line	:
City	:	NORTH BANGOR
State	:	NY
Zip	:	12966-2817
Country	:	US
Telephone Number	:	518-483-0233
Fax Number	:

Provider Business Practice Location Address
First Line	:	1467 COUNTY ROUTE 22
Second Line	:	1467 COUNTY ROUTE 22
City	:	NORTH BANGOR
State	:	NY
Zip	:	12966
Country	:	US
Telephone Number	:	518-483-0233
Fax Number	:	518-240-4563

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/01/2022

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