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Contact Information

COLLEEN M STAFFORD, LPN
5897 RT 281
LITTLE YORK, NY13087
 Phone: 607-423-6465
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for COLLEEN M STAFFORD · (Female)

NPI # 1881863181
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 02/21/2008
Last updated 02/21/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 1207621
  • NY Medicaid 01933848
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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