Individual
DANIELLE BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4110 MEDICAL CENTER DR STE 110, FAYETTEVILLE, NY 13066-6613
(315) 992-6308
Mailing address
4110 MEDICAL CENTER DR STE 110, FAYETTEVILLE, NY 13066-6613
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F354458
NY
Other
Enumeration date
06/28/2024
Last updated
06/28/2024
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