National Provider Identifier
Kevin Berta
Kevin Berta is listed in the NPPES registry with a primary specialty of Peer Specialist in Cheektowaga, NY and a listed phone number of (716) 383-2730.
Profile Overview
- NPI
- 1316626112
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- July 18, 2023
- Last Updated
- July 18, 2023
Practice Location
- 3830 Union RD
- Cheektowaga, NY 14225-4212
Phone: (716) 383-2730
Mailing Address
- 795 Indian Church RD
- Buffalo, NY 14224-1205
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1316626112
- Entity Type
- Individual
- Last Name
- Berta
- First Name
- Kevin
- Mailing Street Address
- 795 Indian Church RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14224-1205
- Mailing Country
- US
- Mailing Phone
- (716) 895-6700
- Practice Street Address
- 3830 Union RD
- Practice City
- Cheektowaga
- Practice State
- NY
- Practice ZIP Code
- 14225-4212
- Practice Country
- US
- Practice Phone
- (716) 383-2730
- Enumeration Date
- July 18, 2023
- Last Updated
- July 18, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- July 18, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)