National Provider Identifier

Joseph George Komenda

Joseph George Komenda is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 422-2002.

NPI 1154841633Buffalo, NYPeer Specialist

Profile Overview

NPI
1154841633
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
June 26, 2017
Last Updated
June 26, 2017

Practice Location

  • 1500 Broadway St
  • Buffalo, NY 14212-1845

Phone: (716) 422-2002

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1154841633
Entity Type
Individual
Last Name
Komenda
First Name
Joseph
Middle Name
George
Mailing Street Address
1500 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1845
Mailing Country
US
Mailing Phone
(716) 422-2002
Mailing Fax
(716) 893-0128
Practice Street Address
1500 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1845
Practice Country
US
Practice Phone
(716) 422-2002
Practice Fax
(716) 893-0128
Enumeration Date
June 26, 2017
Last Updated
June 26, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)