Healthcare Provider Details

I. General information

NPI: 1780830174
Provider Name (Legal Business Name): MARGARET MARY HUSTED LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2008
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1325 MAIN ST
BUFFALO NY
14209-1988
US

IV. Provider business mailing address

19 CAMPUS DR E APT #3
SNYDER NY
14226-3778
US

V. Phone/Fax

Practice location:
  • Phone: 716-335-7393
  • Fax: 716-881-2692
Mailing address:
  • Phone: 716-597-1546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number081141-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: