| Carolyn Difonzo, FNP | |
|
7350 Porter Rd, Niagara Falls, NY 14304-5705 | |
| (716) 332-1644 | |
| (716) 299-0775 |
| Full Name | Carolyn Difonzo |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 7350 Porter Rd, Niagara Falls, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831115096 | NPI | - | NPPES |
| 00027338407 | Other | NY | UNIVERA/EXCELLUS |
| 9513035 | Other | NY | IHA PROVIDER ID |
| 000560981002 | Other | NY | BLUE CROSS /BLUE SHIELD W |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | F 334650 1 (New York) | Primary |
| Entity Name | Niagara Falls Memorial Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285717298 PECOS PAC ID: 0244134484 Enrollment ID: O20040413001290 |
| Entity Name | University Orthopaedic Services Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578599866 PECOS PAC ID: 7810983004 Enrollment ID: O20040422001292 |
| Mailing Address | Practice Location Address |
|---|---|
| Carolyn Difonzo, FNP 7350 Porter Rd, Niagara Falls, NY 14304-5705 Ph: (716) 332-1644 | Carolyn Difonzo, FNP 7350 Porter Rd, Niagara Falls, NY 14304-5705 Ph: (716) 332-1644 |
Corinna Marie Donner, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3117 Military Rd, Niagara Falls, NY 14304 Phone: 716-257-1254 Fax: 716-215-6170 | |
Samantha Noelle Morreale, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2931 Military Rd, Niagara Falls, NY 14304 Phone: 716-298-4869 Fax: 888-847-3060 | |
Arthur C Downie, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2931 Military Rd, Niagara Falls, NY 14304 Phone: 716-298-4869 Fax: 888-847-3060 | |
Courtney Penque, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Colomba Dr Ste 2, Niagara Falls, NY 14305 Phone: 716-501-5501 Fax: 716-229-4520 | |
Mr. Kurt R Woods, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4000 | |
Mrs. Nancy A Ross, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4455 Porter Rd, Niagara Falls, NY 14305 Phone: 716-286-0788 Fax: 716-286-7018 | |
Mary C Haney, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2931 Military Rd, Niagara Falls, NY 14304 Phone: 716-298-4869 |