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Individual

STUART L. DORFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6199 TRANSIT RD, DEPEW, NY 14043-1024
(716) 206-0390
(716) 206-0394
Mailing address
6199 TRANSIT RD, DEPEW, NY 14043-1024
(716) 206-0390
(716) 206-0394

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
139293
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
139293
STATE LICENSE NUMBER
NY
Enumeration date
10/16/2006
Last updated
07/08/2007
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