National Provider Identifier
Tanisa Bancroft-Rivera
Tanisa Bancroft-Rivera is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 884-5797.
Profile Overview
- NPI
- 1477068807
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- December 07, 2017
- Last Updated
- September 13, 2023
Practice Location
- 1280 Main St
- Buffalo, NY 14209-1912
Phone: (716) 884-5797
Mailing Address
- 227 Thorn Ave
- Orchard Park, NY 14127-2600
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1477068807
- Entity Type
- Individual
- Last Name
- Bancroft-Rivera
- First Name
- Tanisa
- Mailing Street Address
- 227 Thorn Ave
- Mailing City
- Orchard Park
- Mailing State
- NY
- Mailing ZIP Code
- 14127-2600
- Mailing Country
- US
- Mailing Phone
- (716) 662-2040
- Mailing Fax
- (716) 662-0019
- Practice Street Address
- 1280 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14209-1912
- Practice Country
- US
- Practice Phone
- (716) 884-5797
- Practice Fax
- (716) 882-0293
- Enumeration Date
- December 07, 2017
- Last Updated
- September 13, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 13, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)