Healthcare Provider Details

I. General information

NPI: 1669868204
Provider Name (Legal Business Name): DEBORAH FIORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 04/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3176 ABBOTT RD BUILDING A SUITE 500
ORCHARD PARK NY
14127-1069
US

IV. Provider business mailing address

3176 ABBOTT RD BUILDING A SUITE 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 Code101YP2500X
TaxonomyProfessional Counselor
License Number001139-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: