National Provider Identifier

Michael Anthony Evola, MSW

Michael Anthony Evola, MSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Buffalo, NY and a listed phone number of (716) 886-7304.

NPI 1104887231Buffalo, NYClinical Social Worker

Profile Overview

NPI
1104887231
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
March 29, 2006
Last Updated
July 08, 2007

Practice Location

  • 406 Linwood Ave
  • Buffalo, NY 14209-1629

Phone: (716) 886-7304

Mailing Address

  • 17 Willowlawn St
  • Buffalo, NY 14214-2328

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1104887231
Entity Type
Individual
Last Name
Evola
First Name
Michael
Middle Name
Anthony
Name Prefix
Mr.
Credential
MSW
Mailing Street Address
17 Willowlawn St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2328
Mailing Country
US
Mailing Phone
(716) 833-8497
Mailing Fax
(716) 833-8497
Practice Street Address
406 Linwood Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1629
Practice Country
US
Practice Phone
(716) 886-7304
Practice Fax
(716) 886-7398
Enumeration Date
March 29, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)