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NPI Code Detail

MEDICARE: ANGEL MINUTO LCSW

MEDICARE: ANGEL MINUTO LCSW
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1508253386
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL MINUTO LCSW
Provider Business Mailing Address
First Line : 570 RICHMOND AVE APT 2
Second Line :
City : BUFFALO
State : NY
Zip : 14222-2379
Country : US
Telephone Number : 716-249-1416
Fax Number :
Provider Business Practice Location Address
First Line : 1416 SWEET HOME RD STE 1
Second Line :
City : AMHERST
State : NY
Zip : 14228-2786
Country : US
Telephone Number : 716-249-1416
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2015
Last Update Date : 03/09/2023

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Directions to “ ANGEL MINUTO LCSW” Practice Location

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