Individual
MRS. COLLEEN M DHAFIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
4085 SENECA ST, STE 3, WEST SENECA, NY 14224-3000
(716) 674-1180
(716) 674-3027
Mailing address
4085 SENECA ST, STE 3, WEST SENECA, NY 14224-3000
(716) 674-1180
(716) 674-3027
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F333650-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026511901
UNIVERA
NY
01
—
000560713001
BLUE CROSS
NY
01
—
50027761
MEDICARE TRAVELERS
NY
01
—
9512281
INDEPENDENT HEALTH
NY
Enumeration date
06/15/2005
Last updated
03/11/2008
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