National Provider Identifier

John Chester Herdzik

John Chester Herdzik is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 852-1117.

NPI 1164736856Buffalo, NYMental Health Counselor

Profile Overview

NPI
1164736856
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
August 05, 2010
Last Updated
August 12, 2010

Practice Location

  • 254 Franklin St
  • Buffalo, NY 14202-1932

Phone: (716) 852-1117

Mailing Address

  • 255 Delaware Ave
  • Buffalo, NY 14202-2016

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1164736856
Entity Type
Individual
Last Name
Herdzik
First Name
John
Middle Name
Chester
Name Prefix
Mr.
Mailing Street Address
255 Delaware Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2016
Mailing Country
US
Mailing Phone
(716) 852-1117
Mailing Fax
(716) 852-1110
Practice Street Address
254 Franklin St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1932
Practice Country
US
Practice Phone
(716) 852-1117
Practice Fax
(716) 852-1110
Enumeration Date
August 05, 2010
Last Updated
August 12, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)