National Provider Identifier
Dawn Marie Tisdale
Dawn Marie Tisdale is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 803-3131.
Profile Overview
- NPI
- 1205584497
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- March 16, 2022
- Last Updated
- March 16, 2022
Practice Location
- 1021 Broadway St Fl 5
- Buffalo, NY 14212-1460
Phone: (716) 803-3131
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1205584497
- Entity Type
- Individual
- Last Name
- Tisdale
- First Name
- Dawn
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Mailing Street Address
- 1021 Broadway St Fl 5
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14212-1460
- Mailing Country
- US
- Mailing Phone
- (716) 803-3131
- Practice Street Address
- 1021 Broadway St Fl 5
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14212-1460
- Practice Country
- US
- Practice Phone
- (716) 803-3131
- Enumeration Date
- March 16, 2022
- Last Updated
- March 16, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- March 16, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)