National Provider Identifier

Dominique Ford, LPN

Dominique Ford, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Cheektowaga, NY and a listed phone number of (716) 894-7777.

NPI 1487944518Cheektowaga, NYLicensed Practical Nurse

Profile Overview

NPI
1487944518
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 11, 2011
Last Updated
April 11, 2011

Practice Location

  • 1680 Walden Ave
  • Cheektowaga, NY 14225-4914

Phone: (716) 894-7777

Mailing Address

  • 34 Reservation St
  • Buffalo, NY 14207-2922

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1487944518
Entity Type
Individual
Last Name
Ford
First Name
Dominique
Credential
LPN
Mailing Street Address
34 Reservation St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-2922
Mailing Country
US
Mailing Phone
(716) 602-3822
Practice Street Address
1680 Walden Ave
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-4914
Practice Country
US
Practice Phone
(716) 894-7777
Practice Fax
(716) 894-0604
Enumeration Date
April 11, 2011
Last Updated
April 11, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)