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NPI Code Detail

MEDICARE: BRITTANY DERRY

MEDICARE: BRITTANY DERRY
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 Counselor009460NY

General Provider Information

NPI Number : 1164881827
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY DERRY
Provider Business Mailing Address
First Line : 227 THORN AVE
Second Line :
City : ORCHARD PARK
State : NY
Zip : 14127-2600
Country : US
Telephone Number : 716-662-2040
Fax Number : 716-662-0019
Provider Business Practice Location Address
First Line : 255 DELAWARE AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14202-2016
Country : US
Telephone Number : 716-842-0440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2016
Last Update Date : 10/23/2022

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Directions to “ BRITTANY DERRY ” Practice Location

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