National Provider Identifier
Derrell Hennings
Derrell Hennings is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 895-6700.
Profile Overview
- NPI
- 1184496382
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- October 23, 2023
- Last Updated
- October 23, 2023
Practice Location
- 1131 Broadway St
- Buffalo, NY 14212-1501
Phone: (716) 895-6700
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1184496382
- Entity Type
- Individual
- Last Name
- Hennings
- First Name
- Derrell
- Mailing Street Address
- 1131 Broadway St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1501
- Mailing Country
- US
- Mailing Phone
- (716) 895-6700
- Practice Street Address
- 1131 Broadway St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1501
- Practice Country
- US
- Practice Phone
- (716) 895-6700
- Enumeration Date
- October 23, 2023
- Last Updated
- October 23, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- October 23, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)