Provider Demographics
NPI:1902842040
Name:DURANTE, DAVID JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:JOHN
Last Name:DURANTE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224
Mailing Address - Country:US
Mailing Address - Phone:716-677-0850
Mailing Address - Fax:716-961-3705
Practice Address - Street 1:1900 RIDGE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3332
Practice Address - Country:US
Practice Address - Phone:716-677-0850
Practice Address - Fax:716-961-3705
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-20
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY1565491207R00000X
NY98869207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00500389001OtherBCBS
NY2808313OtherIHA
NY2808313OtherIHA
NYAA1470Medicare PIN