National Provider Identifier

Justin Shavalier

Justin Shavalier is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 831-7877.

NPI 1053620450Buffalo, NYCounselor

Profile Overview

NPI
1053620450
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
October 02, 2010
Last Updated
October 24, 2016

Practice Location

  • 244 Hempstead Ave
  • Buffalo, NY 14215-3404

Phone: (716) 831-7877

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1053620450
Entity Type
Individual
Last Name
Shavalier
First Name
Justin
Mailing Street Address
244 Hempstead Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-3404
Mailing Country
US
Mailing Phone
(716) 831-7877
Mailing Fax
(716) 831-8666
Practice Street Address
244 Hempstead Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-3404
Practice Country
US
Practice Phone
(716) 831-7877
Practice Fax
(716) 831-8666
Enumeration Date
October 02, 2010
Last Updated
October 24, 2016
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)