Healthcare Provider Details

I. General information

NPI: 1275138083
Provider Name (Legal Business Name): ANNETTE THERESSA DAY MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2020
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 PRATHER AVE STE 100&200A
JAMESTOWN NY
14701-6820
US

IV. Provider business mailing address

206 S ELMWOOD AVE
BUFFALO NY
14201-2398
US

V. Phone/Fax

Practice location:
  • Phone: 716-847-2441
  • Fax:
Mailing address:
  • Phone: 716-847-2441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number122877
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: