National Provider Identifier
Justin Adam Eberhardt, CRPA PEER SPECIALIST
Justin Adam Eberhardt, CRPA PEER SPECIALIST is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 896-7350.
Profile Overview
- NPI
- 1124710595
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 24, 2023
- Last Updated
- May 24, 2023
Practice Location
- 463 William St
- Buffalo, NY 14204-1811
Phone: (716) 896-7350
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1124710595
- Entity Type
- Individual
- Last Name
- Eberhardt
- First Name
- Justin
- Middle Name
- Adam
- Credential
- CRPA PEER SPECIALIST
- Mailing Street Address
- 463 William St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14204-1811
- Mailing Country
- US
- Mailing Phone
- (716) 896-7350
- Practice Street Address
- 463 William St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14204-1811
- Practice Country
- US
- Practice Phone
- (716) 896-7350
- Enumeration Date
- May 24, 2023
- Last Updated
- May 24, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- May 24, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)