Healthcare Provider Details

I. General information

NPI: 1679483812
Provider Name (Legal Business Name): JOSEPH DONALD MASON CRC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 HERTEL AVE STE 350
BUFFALO NY
14207-2341
US

IV. Provider business mailing address

55 DODGE RD
GETZVILLE NY
14068-1205
US

V. Phone/Fax

Practice location:
  • Phone: 716-831-1977
  • Fax: 716-831-1985
Mailing address:
  • Phone: 716-831-2700
  • Fax: 716-831-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: