National Provider Identifier
Sebastian Brundage
Sebastian Brundage is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Warsaw, NY and a listed phone number of (585) 786-0190.
Profile Overview
- NPI
- 1174356083
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 26, 2024
- Last Updated
- August 26, 2024
Practice Location
- 39 Duncan St
- Warsaw, NY 14569-1017
Phone: (585) 786-0190
Mailing Address
- 4222 Bolivar RD
- Wellsville, NY 14895-9332
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1174356083
- Entity Type
- Individual
- Last Name
- Brundage
- First Name
- Sebastian
- Mailing Street Address
- 4222 Bolivar RD
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-9332
- Mailing Country
- US
- Mailing Phone
- (585) 593-1655
- Practice Street Address
- 39 Duncan St
- Practice City
- Warsaw
- Practice State
- NY
- Practice ZIP Code
- 14569-1017
- Practice Country
- US
- Practice Phone
- (585) 786-0190
- Enumeration Date
- August 26, 2024
- Last Updated
- August 26, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 25, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)