National Provider Identifier
Mary Logan
Mary Logan is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 842-0440.
Profile Overview
- NPI
- 1063958064
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- January 13, 2017
- Last Updated
- January 13, 2017
Practice Location
- 255 Delaware Ave
- Suite 300
- Buffalo, NY 14202-2016
Phone: (716) 842-0440
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1063958064
- Entity Type
- Individual
- Last Name
- Logan
- First Name
- Mary
- Mailing Street Address
- 255 Delaware Ave
- Mailing Address Line 2
- Suite 300
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202-2016
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Mailing Fax
- (716) 842-4069
- Practice Street Address
- 255 Delaware Ave
- Practice Address Line 2
- Suite 300
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14202-2016
- Practice Country
- US
- Practice Phone
- (716) 842-0440
- Practice Fax
- (716) 842-4069
- Enumeration Date
- January 13, 2017
- Last Updated
- January 13, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)