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NPI Code Detail

MEDICARE: MS. NANCY GERBRACHT

MEDICARE: MS. NANCY GERBRACHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor006418NY

General Provider Information

NPI Number : 1043457047
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NANCY GERBRACHT
Provider Business Mailing Address
First Line : 254 FRANKLIN ST
Second Line : LAKE SHORE BEHAVIORAL HEALTH
City : BUFFALO
State : NY
Zip : 14202-1932
Country : US
Telephone Number : 716-842-0440
Fax Number : 716-842-4069
Provider Business Practice Location Address
First Line : 430 NIAGARA ST
Second Line : BLENDED CASE MANAGEMENT
City : BUFFALO
State : NY
Zip : 14201-1886
Country : US
Telephone Number : 716-856-2587
Fax Number : 716-856-2608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2009
Last Update Date : 02/02/2026

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Directions to “ MS. NANCY GERBRACHT ” Practice Location

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