National Provider Identifier

Tanisha Brooks

Tanisha Brooks is listed in the NPPES registry with a primary specialty of Peer Specialist in Amherst, NY and a listed phone number of (716) 839-9500.

NPI 1043090202Amherst, NYPeer Specialist

Profile Overview

NPI
1043090202
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
October 04, 2023
Last Updated
October 04, 2023

Practice Location

  • 4511 Harlem RD
  • Amherst, NY 14226-3803

Phone: (716) 839-9500

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1043090202
Entity Type
Individual
Last Name
Brooks
First Name
Tanisha
Mailing Street Address
4511 Harlem RD
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3803
Mailing Country
US
Mailing Phone
(716) 839-9500
Practice Street Address
4511 Harlem RD
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3803
Practice Country
US
Practice Phone
(716) 839-9500
Enumeration Date
October 04, 2023
Last Updated
October 04, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 04, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)