Individual
TERESA LOUISE DANFORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3085 HARLEM RD STE 200, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5750
Mailing address
3085 HARLEM RD STE 350, CHEEKTOWAGA, NY 14225-2591
(716) 844-5000
(716) 844-5750
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
MD483584
PA
2088F0040X
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
Primary
268218
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12488417
CAQH
—
Enumeration date
04/16/2009
Last updated
09/07/2024
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