MRS. PHYLLIS ANN KOMROY


Address: 765 Wehrle Dr, Buffalo, NY 14225-1319
Phone: 7165652092

MRS. PHYLLIS ANN KOMROY (NPI# 1790730141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790730141
Entity Type Individual
Full Name MRS. PHYLLIS ANN KOMROY
Other Name MISS PHYLLIS ANN BURGIO
Credential LCSW
Practice Address 765 Wehrle Dr
Buffalo
NY 14225-1319
Mailing Address 339 Walton Dr
Amherst
NY 14226-4845
Practice Telephone 7165652092
Practice Fax Number 7166341317
Mailing Telephone 7168391046
Enumeration Date 2006-05-24
Last Update Date 2010-07-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
070564-1 NY Behavioral Health & Social Service Providers

Office Location

Street Address 765 WEHRLE DR
City BUFFALO
State NY
Zip Code 14225-1319

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124055454 Christine Bylewski Social Worker 765 Wehrle Dr, Buffalo, NY 14225-1319 2006-06-26

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1881040244 Amanda Sanders Licensed Practical Nurse 21 Kingswood Dr, Cheektowaga, NY 14225 2016-05-04
1255748638 Valerie Knowles Licensed Practical Nurse 3527 Harlem Road, Cheektowaga, NY 14225 2014-07-17
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1649569401 Adrianne M Stensaas Counselor 482 Muddy Creek Rd, Buffalo, WY 82834-9621 2011-04-01
1740597913 Jamie L.f. Straessler Counselor 320 N Adams Ave, Buffalo, WY 82834-1711 2010-09-08
1124268354 Rose M Harriet Counselor 781 Klondike Dr, #2, Buffalo, WY 82834-2598 2009-02-27
1982895595 Bolivar Family Counseling Center LLC Counselor 5438 S 244th Rd, Buffalo, MO 65622-9373 2007-08-08
1154955771 Cara Borrero Counselor 381 Kenmore Ave, Buffalo, NY 14223-2861 2020-02-24
1265098792 Silver Lining LLC Counselor 140 S Main St, Buffalo, WY 82834-1846 2019-05-09
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Competitor

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City BUFFALO
Zip Code 14225

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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