National Provider Identifier
Gloria Esther Fuentes' Pagan
Gloria Esther Fuentes' Pagan is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 883-5344.
Profile Overview
- NPI
- 1104097385
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- March 17, 2008
- Last Updated
- March 17, 2008
Practice Location
- 951 Niagara Street
- Drug & Alcohol Abuse Services Adolescent Outpatient Prg
- Buffalo, NY 14213
Phone: (716) 883-5344
Mailing Address
- 254 Franklin Street
- Lake Shore Behavioral Health, Inc.
- Buffalo, NY 14202
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1104097385
- Entity Type
- Individual
- Last Name
- Fuentes' Pagan
- First Name
- Gloria
- Middle Name
- Esther
- Name Prefix
- MS.
- Mailing Street Address
- 254 Franklin Street
- Mailing Address Line 2
- Lake Shore Behavioral Health, Inc.
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14202
- Mailing Country
- US
- Mailing Phone
- (716) 842-0440
- Mailing Fax
- (716) 842-4069
- Practice Street Address
- 951 Niagara Street
- Practice Address Line 2
- Drug & Alcohol Abuse Services Adolescent Outpatient Prg
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213
- Practice Country
- US
- Practice Phone
- (716) 883-5344
- Practice Fax
- (716) 884-1758
- Enumeration Date
- March 17, 2008
- Last Updated
- March 17, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)