National Provider Identifier

Jeffrey Brian Fyvie

Jeffrey Brian Fyvie is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 551-7894.

NPI 1386274512Buffalo, NYPeer Specialist

Profile Overview

NPI
1386274512
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
January 15, 2020
Last Updated
January 28, 2020

Practice Location

  • 254 Franklin St
  • Buffalo, NY 14202-1932

Phone: (716) 551-7894

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1386274512
Entity Type
Individual
Last Name
Fyvie
First Name
Jeffrey
Middle Name
Brian
Mailing Street Address
254 Franklin St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1932
Mailing Country
US
Mailing Phone
(716) 551-7894
Mailing Fax
(716) 840-9593
Practice Street Address
254 Franklin St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14202-1932
Practice Country
US
Practice Phone
(716) 551-7894
Practice Fax
(716) 840-9593
Enumeration Date
January 15, 2020
Last Updated
January 28, 2020
Sex
Male
Sole Proprietor
No
Certification Date
January 28, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)