National Provider Identifier
Kenneth Costa
Kenneth Costa is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 539-5260.
Profile Overview
- NPI
- 1326806183
- Provider Type
- Individual
- Primary Specialty
- Peer Specialist
- Enumeration Date
- March 07, 2024
- Last Updated
- March 07, 2024
Practice Location
- 69 Linwood Ave
- Buffalo, NY 14209-2203
Phone: (716) 539-5260
Specialties
- Peer Specialist (175T00000X)
Full Record
- NPI
- 1326806183
- Entity Type
- Individual
- Last Name
- Costa
- First Name
- Kenneth
- Name Prefix
- Mr.
- Mailing Street Address
- 69 Linwood Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2203
- Mailing Country
- US
- Mailing Phone
- (716) 539-5260
- Practice Street Address
- 69 Linwood Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2203
- Practice Country
- US
- Practice Phone
- (716) 539-5260
- Enumeration Date
- March 07, 2024
- Last Updated
- March 07, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- March 06, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Peer Specialist (175T00000X)