National Provider Identifier
Andrea M Fazzolari, LMSW
Andrea M Fazzolari, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 816-4770.
Profile Overview
- NPI
- 1013452895
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- January 03, 2017
- Last Updated
- February 24, 2021
Practice Location
- 73 Pawnee Pkwy
- Buffalo, NY 14210-1815
Phone: (716) 816-4770
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1013452895
- Entity Type
- Individual
- Last Name
- Fazzolari
- First Name
- Andrea
- Middle Name
- M
- Name Prefix
- MS.
- Credential
- LMSW
- Mailing Street Address
- 73 Pawnee Pkwy
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14210-1815
- Mailing Country
- US
- Practice Street Address
- 73 Pawnee Pkwy
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14210-1815
- Practice Country
- US
- Practice Phone
- (716) 816-4770
- Enumeration Date
- January 03, 2017
- Last Updated
- February 24, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 24, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)