National Provider Identifier

Kevin Modlmayer

Kevin Modlmayer is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 881-2405.

NPI 1134420417Buffalo, NYSocial Worker

Profile Overview

NPI
1134420417
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
November 03, 2010
Last Updated
November 03, 2010

Practice Location

  • 1487 Main St
  • Buffalo, NY 14209-1723

Phone: (716) 881-2405

Mailing Address

  • 301 Cayuga RD
  • Cheektowaga, NY 14225-1950

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1134420417
Entity Type
Individual
Last Name
Modlmayer
First Name
Kevin
Mailing Street Address
301 Cayuga RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-1950
Mailing Country
US
Mailing Phone
(716) 819-3420
Mailing Fax
(716) 819-3430
Practice Street Address
1487 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14209-1723
Practice Country
US
Practice Phone
(716) 881-2405
Practice Fax
(716) 881-2425
Enumeration Date
November 03, 2010
Last Updated
November 03, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)