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NPI Code Detail

MEDICARE: DR. DANA LYNN NORMAN DO

MEDICARE: DR. DANA LYNN NORMAN DO
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
1208000000XPediatrics Physician327783NY

General Provider Information

NPI Number : 1669932711
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANA LYNN NORMAN DO
Provider Business Mailing Address
First Line : 200 NORTH ST STE 101
Second Line :
City : GENEVA
State : NY
Zip : 14456-1561
Country : US
Telephone Number : 315-787-5200
Fax Number :
Provider Business Practice Location Address
First Line : 833 CANANDAIGUA RD
Second Line :
City : GENEVA
State : NY
Zip : 14456-2015
Country : US
Telephone Number : 315-787-5200
Fax Number : 315-787-5221
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2019
Last Update Date : 10/01/2025

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