Individual
DEBORAH L IAFALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
4553 WINDING WOODS LN, HAMBURG, NY 14075-5453
(716) 648-7112
Mailing address
4553 WINDING WOODS LN, HAMBURG, NY 14075-5453
(716) 648-7112
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F304130
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639518
—
NY
Enumeration date
09/06/2005
Last updated
09/03/2014
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