Individual
MS. DENISE SHORKEY BUFFHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE, CD/N
Contact information
Practice address
1 HOSPITAL DR, MASSENA, NY 13662-1056
(315) 769-4346
Mailing address
1 SOPHIA ST, PHILADELPHIA, NY 13673-3211
(315) 681-1229
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
876810
NY
Other
Enumeration date
04/12/2010
Last updated
10/28/2011
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