Healthcare Provider Details

I. General information

NPI: 1770696759
Provider Name (Legal Business Name): BARBARA A CAULFIELD N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 08/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3019 COUNTY COMPLEX DR
CANANDAIGUA NY
14424-9505
US

IV. Provider business mailing address

4901 SENECA POINT RD
CANANDAIGUA NY
14424-8976
US

V. Phone/Fax

Practice location:
  • Phone: 585-396-4363
  • Fax: 585-396-4993
Mailing address:
  • Phone: 585-393-9855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberF330842
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: