National Provider Identifier

Courtney Dale O'Brien

Courtney Dale O'Brien is listed in the NPPES registry with a primary specialty of Specialist in Buffalo, NY and a listed phone number of (716) 207-7406.

NPI 1245592005Buffalo, NYSpecialist

Profile Overview

NPI
1245592005
Provider Type
Individual
Primary Specialty
Specialist
Enumeration Date
June 07, 2012
Last Updated
June 07, 2012

Practice Location

  • 132 Cumberland Ave
  • Buffalo, NY 14220-1312

Phone: (716) 207-7406

Specialties

  • Specialist (174400000X)
Full Record
NPI
1245592005
Entity Type
Individual
Last Name
O'Brien
First Name
Courtney
Middle Name
Dale
Mailing Street Address
132 Cumberland Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14220-1312
Mailing Country
US
Practice Street Address
132 Cumberland Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14220-1312
Practice Country
US
Practice Phone
(716) 207-7406
Enumeration Date
June 07, 2012
Last Updated
June 07, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Specialist (174400000X)