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Individual

MR. JOHN D STAFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
6 COUNTRY CLUB RD, ONEONTA, NY 13820-1005
(607) 431-2525
(607) 432-1110
Mailing address
449 MAIN ST, ONEONTA, NY 13820-2028
(607) 432-5680
(607) 432-5575

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F337953-1
NY
363L00000X
Nurse Practitioner
RN169872NP
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
511I500824
MEDICARE PTAN
Enumeration date
03/07/2007
Last updated
11/12/2024
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