CRYSTAL WILCZAK


Address: 1325 Main St, Buffalo, NY 14209-1988
Phone: 7163357384

CRYSTAL WILCZAK (NPI# 1821415134) 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) 1821415134
Entity Type Individual
Full Name CRYSTAL WILCZAK
Other Name CRYSTAL GIAMMARISE
Practice Address 1325 Main St
Buffalo
NY 14209-1988
Mailing Address 330 Delaware Ave
Buffalo
NY 14202-1804
Practice Telephone 7163357384
Practice Fax Number 7168810652
Mailing Telephone 7163357384
Mailing Fax Number 7168810652
Enumeration Date 2014-03-25
Last Update Date 2014-03-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YS0200X Counselor
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 1325 MAIN ST
City BUFFALO
State NY
Zip Code 14209-1988

Providers in the same location

NPI Name Taxonomy Address Enumeration
1730382730 Joann Speight Social Worker 1325 Main St, Buffalo, NY 14209-1988 2007-06-07
1598329773 Daniel Nathan Stegeman Social Worker 1325 Main St, Buffalo, NY 14209-1988 2019-04-23
1932507530 Buffalo Vamc Clinic/Center 1325 Main St, Buffalo, NY 14209-1988 2014-12-12
1083019509 Laura Bannon Social Worker 1325 Main St, Buffalo, NY 14209-1988 2014-10-27
1104254804 Samantha Saraceno-davis Counselor 1325 Main St, Buffalo, NY 14209-1988 2013-10-16
1215364765 Paul M Crowley Counselor 1325 Main St, Buffalo, NY 14209-1988 2013-09-30
1790031185 Kathryn Chantel Walker Counselor 1325 Main St, Buffalo, NY 14209-1988 2012-08-03
1982950564 Child and Family Services Community/Behavioral Health 1325 Main St, Buffalo, NY 14209-1988 2012-08-01
1124374897 Mackenzie Harding Counselor 1325 Main St, Buffalo, NY 14209-1988 2012-07-31
1558617233 John Jerome Cross Counselor 1325 Main St, Buffalo, NY 14209-1988 2012-07-31
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1053924522 Graham Joshua Anderson Peer Specialist 64 Linwood Ave., Buffalo, NY 14209 2020-08-25
1881101954 Western New York Integrated Care Collaborative, Inc. Dietitian, Registered 742 Delaware Avenue, Buffalo, NY 14209 2018-01-10
1679021158 Dawn Harrison Nurse Practitioner 935 Delaware Ave., Suite 300, Buffalo, NY 14209 2016-09-14
1194272799 Joseph Michael Dellavalle Physical Therapist 969 Ellicott Street, Buffalo, NY 14209 2016-09-01
1205280245 Upasana Kochhar Family Medicine 1091 Main Street, 301, Williamsville, NY 14209 2016-04-15
1699177485 Emily Catherine Gorman Dietitian, Registered 1084 Delaware Ave, Buffalo, NY 14209 2014-09-23
1003166091 Kaleida Health General Acute Care Hospital 1045 W. Delavan Ave, Buffalo, NY 14209 2012-09-17
1871885798 Oncomed The Oncology Pharmacy of Buffalo Ny LLC Pharmacy 1100 Main St Ste 100, Buffalo, NY 14209 2011-05-11
1740583723 Aryan Wahab Student in an Organized Health Care Education/Training Program 3 Gates Circle, 9th Floor, Millard Filmore Gates Hospital, Buffalo, NY 14209 2010-12-13
1841500873 Nicole Curtin Chiropractor 1275 Main St, Suite 110, Buffalo, NY 14209 2010-10-08
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Taxonomy Information

Taxonomy Code 101YS0200X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization School

Taxonomy Definition

Definition to come...

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1093191157 Taylor Edgcomb Counselor 574 Sesame St, Buffalo, WY 82834-2510 2015-07-30
1740672559 Elizabeth Anne Giglia Counselor 35 Salem St, Buffalo, NY 14220-1728 2015-03-03
1245739630 Amy Michele Hoffman Counselor 10 Symphony Cir, Buffalo, NY 14201-1363 2018-02-12
1366859589 Sarah Thomas Counselor 10 Symphony Cir, Buffalo, NY 14201-1363 2014-07-21
1043413883 Shayna Christine Gehl Counselor 525 Washington St, Buffalo, NY 14203-1711 2007-06-08

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1821647652 Andrew Brook Counselor 108 Hollyhock Rd, Levittown, NY 11756-2423 2019-09-04
1881242469 Vanessa Ramirez Counselor 250 W Merrick Rd Apt 1b, Freeport, NY 11520-3311 2019-08-28
1578110938 Ariana Schiano Counselor 89 Ontario Ave, Massapequa, NY 11758-3934 2019-08-21
1881251957 Danielle Esther Zalta Counselor 1468 E 3rd St, Brooklyn, NY 11230-5503 2019-05-23
1437611175 Naomi Rausman Counselor 65 Bates Dr, Monsey, NY 10952 2019-04-02
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Competitor

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City BUFFALO
Zip Code 14209

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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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