National Provider Identifier

Robert Durham

Robert Durham is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Ontario, NY and a listed phone number of (315) 333-5145.

NPI 1255706503Ontario, NYLicensed Practical Nurse

Profile Overview

NPI
1255706503
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
December 10, 2015
Last Updated
December 10, 2015

Practice Location

  • 6142 Furnace RD
  • Ontario, NY 14519-8901

Phone: (315) 333-5145

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1255706503
Entity Type
Individual
Last Name
Durham
First Name
Robert
Mailing Street Address
6142 Furnace RD
Mailing City
Ontario
Mailing State
NY
Mailing ZIP Code
14519-8901
Mailing Country
US
Mailing Phone
(315) 333-5145
Practice Street Address
6142 Furnace RD
Practice City
Ontario
Practice State
NY
Practice ZIP Code
14519-8901
Practice Country
US
Practice Phone
(315) 333-5145
Enumeration Date
December 10, 2015
Last Updated
December 10, 2015
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)