National Provider Identifier
Nicholas John Mirusso, PEER ADVOCATE
Nicholas John Mirusso, PEER ADVOCATE is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 856-2587.
Profile Overview
- NPI
- 1295247419
- Provider Type
- Individual
- Primary Specialty
- Counselor
- Enumeration Date
- October 27, 2017
- Last Updated
- October 27, 2017
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 856-2587
Specialties
- Counselor (101Y00000X)
Full Record
- NPI
- 1295247419
- Entity Type
- Individual
- Last Name
- Mirusso
- First Name
- Nicholas
- Middle Name
- John
- Credential
- PEER ADVOCATE
- Mailing Street Address
- 430 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14201-1886
- Mailing Country
- US
- Mailing Phone
- (716) 856-2587
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 856-2587
- Enumeration Date
- October 27, 2017
- Last Updated
- October 27, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Counselor (101Y00000X)