Healthcare Provider Details

I. General information

NPI: 1942356878
Provider Name (Legal Business Name): ERINA MARIE SEAMAN-GRAHAM LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 CAZENOVIA ST
BUFFALO NY
14220-1707
US

IV. Provider business mailing address

525 WASHINGTON ST
BUFFALO NY
14203-1711
US

V. Phone/Fax

Practice location:
  • Phone: 716-821-1928
  • Fax: 716-825-2199
Mailing address:
  • Phone: 716-856-4494
  • Fax: 716-842-1277

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number074577-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: