Healthcare Provider Details

I. General information

NPI: 1568467025
Provider Name (Legal Business Name): JAMES A BRIGANTE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 BRYANT WOODS S
AMHERST NY
14228-3604
US

IV. Provider business mailing address

85 BRYANT WOODS S
AMHERST NY
14228-3604
US

V. Phone/Fax

Practice location:
  • Phone: 716-689-3333
  • Fax: 716-689-9866
Mailing address:
  • Phone: 716-689-3333
  • Fax: 716-689-9866

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR041300
License Number StateNY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier00025295101
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerUNIVERA HEALTHCARE
# 2
Identifier000523701002
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerHEALTH INTEGRATED
# 3
Identifier000523701002
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerBC/BS OF WNY
# 4
Identifier6290200
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerINDEPENDENT HEALTH
# 5
Identifier11514572
Identifier TypeOTHER
Identifier StateNY
Identifier IssuerCAQH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: