National Provider Identifier
Madeline Tracy Gehrig
Madeline Tracy Gehrig is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 882-3151.
Profile Overview
- NPI
- 1164987947
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- February 05, 2019
- Last Updated
- August 11, 2021
Practice Location
- 768 Delaware Ave
- Buffalo, NY 14209-2006
Phone: (716) 882-3151
Mailing Address
- 641 Park Ave Apt 13
- Syracuse, NY 13204-2233
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1164987947
- Entity Type
- Individual
- Last Name
- Gehrig
- First Name
- Madeline
- Middle Name
- Tracy
- Mailing Street Address
- 641 Park Ave Apt 13
- Mailing City
- Syracuse
- Mailing State
- NY
- Mailing ZIP Code
- 13204-2233
- Mailing Country
- US
- Practice Street Address
- 768 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2006
- Practice Country
- US
- Practice Phone
- (716) 882-3151
- Enumeration Date
- February 05, 2019
- Last Updated
- August 11, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 21, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)