National Provider Identifier
Demetria Mercedes Anderson
Demetria Mercedes Anderson 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) 881-2405.
Profile Overview
- NPI
- 1407583438
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- August 01, 2022
- Last Updated
- August 01, 2022
Practice Location
- 768 Delaware Ave
- Buffalo, NY 14209-2006
Phone: (716) 881-2405
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1407583438
- Entity Type
- Individual
- Last Name
- Anderson
- First Name
- Demetria
- Middle Name
- Mercedes
- Mailing Street Address
- 768 Delaware Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2006
- Mailing Country
- US
- Mailing Phone
- (716) 881-2405
- Mailing Fax
- (716) 886-4002
- Practice Street Address
- 768 Delaware Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-2006
- Practice Country
- US
- Practice Phone
- (716) 881-2405
- Practice Fax
- (716) 886-4002
- Enumeration Date
- August 01, 2022
- Last Updated
- August 01, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 01, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)