National Provider Identifier
Odessa Durham
Odessa Durham is listed in the NPPES registry with a primary specialty of Prosthetics Case Management in Buffalo, NY and a listed phone number of (716) 228-3504.
Profile Overview
- NPI
- 1952903031
- Provider Type
- Individual
- Primary Specialty
- Prosthetics Case Management
- Enumeration Date
- November 12, 2020
- Last Updated
- November 12, 2020
Practice Location
- 2065 Fillmore Ave
- Buffalo, NY 14214-2825
Phone: (716) 228-3504
Specialties
- Prosthetics Case Management (1744P3200X)
Full Record
- NPI
- 1952903031
- Entity Type
- Individual
- Last Name
- Durham
- First Name
- Odessa
- Mailing Street Address
- 2065 Fillmore Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14214-2825
- Mailing Country
- US
- Mailing Phone
- (716) 228-3504
- Practice Street Address
- 2065 Fillmore Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-2825
- Practice Country
- US
- Practice Phone
- (716) 228-3504
- Enumeration Date
- November 12, 2020
- Last Updated
- November 12, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- November 12, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Prosthetics Case Management (1744P3200X)