Individual
ANDREA DUFORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4154 FOXWOOD LN, BUFFALO, NY 14221-7356
(617) 848-0417
Mailing address
4154 FOXWOOD LN, BUFFALO, NY 14221-7356
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NY
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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