MEDICARE: JEFFREY MARK WALKER

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
1	175T00000X	Peer Specialist	CRPA-7023	NY

General Provider Information

NPI Number	:	1245160704
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY MARK WALKER

Provider Business Mailing Address
First Line	:	277 LINWOOD AVE APT 4B
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14209-1821
Country	:	US
Telephone Number	:	716-895-6700
Fax Number	:

Provider Business Practice Location Address
First Line	:	586 GENESEE ST
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14204-1323
Country	:	US
Telephone Number	:	716-895-6700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “ JEFFREY MARK WALKER ” Practice Location

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