Provider Demographics
NPI:1699161265
Name:DOBSON, BEATA (ANP)
Entity type:Individual
Prefix:
First Name:BEATA
Middle Name:
Last Name:DOBSON
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 BENNETT RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1443
Mailing Address - Country:US
Mailing Address - Phone:716-686-8460
Mailing Address - Fax:716-686-8100
Practice Address - Street 1:150 BENNETT RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1443
Practice Address - Country:US
Practice Address - Phone:716-686-8460
Practice Address - Fax:716-686-8100
Is Sole Proprietor?:No
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF306868363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health