National Provider Identifier

Matthew Logue

Matthew Logue is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 710-4393.

NPI 1376267310Buffalo, NYCase Manager/Care Coordinator

Profile Overview

NPI
1376267310
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
October 03, 2022
Last Updated
October 03, 2022

Practice Location

  • 1050 Niagara St
  • Buffalo, NY 14213-2001

Phone: (716) 710-4393

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1376267310
Entity Type
Individual
Last Name
Logue
First Name
Matthew
Mailing Street Address
1050 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2001
Mailing Country
US
Mailing Phone
(716) 710-4393
Mailing Fax
(716) 856-5614
Practice Street Address
1050 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-2001
Practice Country
US
Practice Phone
(716) 710-4393
Practice Fax
(716) 856-5614
Enumeration Date
October 03, 2022
Last Updated
October 03, 2022
Sex
Male
Sole Proprietor
No
Certification Date
October 03, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)