National Provider Identifier

Stefan Alexander Gallucci, LMSW

Stefan Alexander Gallucci, LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 831-1800.

NPI 1215245469Buffalo, NYSocial Worker

Profile Overview

NPI
1215245469
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
September 22, 2010
Last Updated
May 30, 2013

Practice Location

  • 3020 Bailey Ave
  • Buffalo, NY 14215-2814

Phone: (716) 831-1800

Specialties

  • Social Worker (104100000X)
  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1215245469
Entity Type
Individual
Last Name
Gallucci
First Name
Stefan
Middle Name
Alexander
Credential
LMSW
Mailing Street Address
3020 Bailey Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14215-2814
Mailing Country
US
Mailing Phone
(716) 831-1800
Mailing Fax
(716) 831-1818
Practice Street Address
3020 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-2814
Practice Country
US
Practice Phone
(716) 831-1800
Practice Fax
(716) 831-1818
Enumeration Date
September 22, 2010
Last Updated
May 30, 2013
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X), Clinical Social Worker (1041C0700X)