Individual provider · NPI-1
Joanne Virginia Bifaro, M.D.
Family Medicine · Albany, NY
NPI number1609214394
StatusActive
Last updated in NPPESNov 6, 2023
Details
- NPI
- 1609214394
- Entity type
- Individual (NPI-1)
- Name
- Joanne Virginia Bifaro
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 5, 2013
- Certification date
- Nov 6, 2023
- Last updated
- Nov 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 285466 | NY | Yes |
| 207Q00000X | Family Medicine | 256128 | MA |
Other names
- Joanne Virginia Dannenhoffer (Former Name)
Practice location
391 Myrtle AveSuite 4a
Albany, NY 12208-3513
Phone 518-207-2273 · Fax 518-207-2293
Mailing address
711 Troy Schenectady RdSuite 203
Latham, NY 12110-2442
Phone 518-782-3700 · Fax 518-782-3799
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