National Provider Identifier
Jerome Joseph Holloway SR.
Jerome Joseph Holloway SR. is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 710-4393.
Profile Overview
- NPI
- 1427579390
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- June 30, 2017
- Last Updated
- June 30, 2017
Practice Location
- 430 Niagara St
- Buffalo, NY 14201-1886
Phone: (716) 710-4393
Mailing Address
- 1125 Main St # 103
- Buffalo, NY 14209-2300
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1427579390
- Entity Type
- Individual
- Last Name
- Holloway
- First Name
- Jerome
- Middle Name
- Joseph
- Name Suffix
- SR.
- Mailing Street Address
- 1125 Main St # 103
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14209-2300
- Mailing Country
- US
- Practice Street Address
- 430 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14201-1886
- Practice Country
- US
- Practice Phone
- (716) 710-4393
- Enumeration Date
- June 30, 2017
- Last Updated
- June 30, 2017
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)