Healthcare Provider Details

I. General information

NPI: 1851808588
Provider Name (Legal Business Name): ETHAN BENJAMIN CHASE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2018
Last Update Date: 01/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3176 ABBOTT RD STE 500
ORCHARD PARK NY
14127-1069
US

IV. Provider business mailing address

3176 ABBOTT RD STE 500
ORCHARD PARK NY
14127-1069
US

V. Phone/Fax

Practice location:
  • Phone: 716-822-2177
  • Fax: 716-822-8165
Mailing address:
  • Phone: 716-822-2177
  • Fax: 716-822-8165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: