Colleen M Dhafir, N.P.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

F333650-1 Issued in NY

Practice address

4085 Seneca St
Ste 3
West Seneca, NY 14224-3000

Phone

(716) 674-1180

Fax

(716) 674-3027

NPI assigned

Jun 15, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1174528301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 SENECA ST",
            "address_2": "STE 3",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243000",
            "telephone_number": "716-674-1180",
            "fax_number": "716-674-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 SENECA ST",
            "address_2": "STE 3",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142243000",
            "telephone_number": "716-674-1180",
            "fax_number": "716-674-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHAFIR",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-15",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F333650-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS",
            "identifier": "50027761",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "9512281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00026511901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "000560713001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Depasquale, BACHELOR OF NS DOCTO
• Anthony John Deplato, M.D.
• Peter D. Derose, D.D.S.
• Lauren Marie Destro, DPT
• Tina Destro
• Mazin A Dhafir, M.D.
• Pardeep Paul Dhanoa, DO
• Diane M. Sanfilippo
• Diane M. Sanfilippo MD OB-GYN PC
• Felicia Diaz

• Nurse Practitioner in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.