National Provider Identifier

Dustin Haraden

Dustin Haraden is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 922-9900.

NPI 1235702986Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1235702986
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
July 21, 2021
Last Updated
September 08, 2021

Practice Location

  • 224 Alexander St
  • Rochester, NY 14607-4000

Phone: (585) 922-9900

Mailing Address

  • 35 Westerloe Ave
  • Brighton, NY 14620-3413

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1235702986
Entity Type
Individual
Last Name
Haraden
First Name
Dustin
Mailing Street Address
35 Westerloe Ave
Mailing City
Brighton
Mailing State
NY
Mailing ZIP Code
14620-3413
Mailing Country
US
Practice Street Address
224 Alexander St
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14607-4000
Practice Country
US
Practice Phone
(585) 922-9900
Enumeration Date
July 21, 2021
Last Updated
September 08, 2021
Sex
Male
Sole Proprietor
No
Certification Date
September 08, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)