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NPI Code Detail

MEDICARE: MRS. ANDREA LYNN NEUMANN CASAC-T

MEDICARE: MRS. ANDREA LYNN NEUMANN CASAC-T
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
1171M00000XCase Manager/Care Coordinator171M000000XNY

General Provider Information

NPI Number : 1366746414
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANDREA LYNN NEUMANN CASAC-T
Provider Business Mailing Address
First Line : 1050 NIAGARA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2001
Country : US
Telephone Number : 716-856-2587
Fax Number : 716-856-2608
Provider Business Practice Location Address
First Line : 1050 NIAGARA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2001
Country : US
Telephone Number : 716-856-2587
Fax Number : 716-856-2608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2011
Last Update Date : 12/20/2019

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Directions to “ MRS. ANDREA LYNN NEUMANN CASAC-T” Practice Location

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