Denise Shorkey Buffham, RD, CDE, CD/N
Individual provider Active NPI Registered Dietitian · Massena, NY
NPI 1134445430 · NPPES record last updated Oct 28, 2011
Key facts
- NPI
- 1134445430
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 876810 (NY)
- Practice address
- 1 Hospital Dr
Massena, NY 13662-1056 - Phone
- (315) 769-4346
- NPI assigned
- Apr 12, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 876810 | NY | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 876810 | NY | Yes |
Addresses
Primary practice location
1 Hospital Dr
Massena, NY 13662-1056
Mailing address
1 Sophia St
Philadelphia, NY 13673-3211
Phone (315) 681-1229
Other providers in Massena, NY
- Mary Rose Brady
- Dane A Brenno
- Maris Brockway
- Madelayne O Brown
- Andrew Brush
- Carmen Burley
- John Stephen Burnett
- Max Tyler Buscaglia
- Byung S. Lim , MD, PC
- Gina Caldwell
All providers in Massena, NY · Registered Dietitian in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.