National Provider Identifier

Nicholas Laport

Nicholas Laport is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 828-1719.

NPI 1174342075Buffalo, NYPeer Specialist

Profile Overview

NPI
1174342075
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
October 08, 2024
Last Updated
October 08, 2024

Practice Location

  • 111 Maple St
  • Buffalo, NY 14204-1260

Phone: (716) 828-1719

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1174342075
Entity Type
Individual
Last Name
Laport
First Name
Nicholas
Mailing Street Address
227 Thorn Ave
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-2600
Mailing Country
US
Mailing Phone
(716) 662-2040
Mailing Fax
(716) 662-0019
Practice Street Address
111 Maple St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14204-1260
Practice Country
US
Practice Phone
(716) 828-1719
Practice Fax
(716) 828-1522
Enumeration Date
October 08, 2024
Last Updated
October 08, 2024
Sex
Male
Sole Proprietor
No
Certification Date
October 08, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)