National Provider Identifier

Cory Damon

Cory Damon is listed in the NPPES registry with a primary specialty of Adult Health Nurse Practitioner in Buffalo, NY and a listed phone number of (716) 908-1516.

NPI 1235758707Buffalo, NYAdult Health Nurse Practitioner

Profile Overview

NPI
1235758707
Provider Type
Individual
Primary Specialty
Adult Health Nurse Practitioner
Enumeration Date
April 14, 2020
Last Updated
June 06, 2024

Practice Location

  • 100 High St
  • Buffalo, NY 14203-1126

Phone: (716) 908-1516

Mailing Address

  • 8276 Greiner RD
  • Buffalo, NY 14221-2817

Specialties

  • Adult Health Nurse Practitioner (363LA2200X)
  • Nurse Practitioner (363L00000X)
Full Record
NPI
1235758707
Entity Type
Individual
Last Name
Damon
First Name
Cory
Mailing Street Address
8276 Greiner RD
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14221-2817
Mailing Country
US
Mailing Phone
(716) 908-1516
Practice Street Address
100 High St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1126
Practice Country
US
Practice Phone
(716) 908-1516
Enumeration Date
April 14, 2020
Last Updated
June 06, 2024
Sex
Male
Sole Proprietor
No
Certification Date
June 05, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Health Nurse Practitioner (363LA2200X), Nurse Practitioner (363L00000X)