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NPI Code Detail

MEDICARE: ERIN BUFTON RN

MEDICARE: ERIN BUFTON RN
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
1163W00000XRegistered Nurse694971NY

General Provider Information

NPI Number : 1821456914
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIN BUFTON RN
Provider Business Mailing Address
First Line : 8539A SPRAIGHT LOOP
Second Line :
City : WATERTOWN
State : NY
Zip : 13603-4012
Country : US
Telephone Number : 574-202-3844
Fax Number :
Provider Business Practice Location Address
First Line : 3 BRIDGE ST
Second Line :
City : CARTHAGE
State : NY
Zip : 13619-1360
Country : US
Telephone Number : 315-493-3300
Fax Number : 315-493-3306
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2016
Last Update Date : 02/03/2016

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