National Provider Identifier

Jason Domingo, MSW

Jason Domingo, MSW is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 895-7715.

NPI 1346791795Buffalo, NYSocial Worker

Profile Overview

NPI
1346791795
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 20, 2016
Last Updated
June 22, 2018

Practice Location

  • 20 Rich St
  • Buffalo, NY 14211-3020

Phone: (716) 895-7715

Mailing Address

  • 255 Delaware Ave Ste 300
  • Buffalo, NY 14202-2017

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1346791795
Entity Type
Individual
Last Name
Domingo
First Name
Jason
Credential
MSW
Mailing Street Address
255 Delaware Ave Ste 300
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-2017
Mailing Country
US
Mailing Phone
(716) 842-0440
Practice Street Address
20 Rich St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14211-3020
Practice Country
US
Practice Phone
(716) 895-7715
Enumeration Date
October 20, 2016
Last Updated
June 22, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)