National Provider Identifier

Brodie Michael Kaiser

Brodie Michael Kaiser is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 835-4011.

NPI 1477167484Buffalo, NYCounselor

Profile Overview

NPI
1477167484
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
September 08, 2020
Last Updated
December 01, 2020

Practice Location

  • 3350 Main St
  • Buffalo, NY 14214-1316

Phone: (716) 835-4011

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1477167484
Entity Type
Individual
Last Name
Kaiser
First Name
Brodie
Middle Name
Michael
Mailing Street Address
3350 Main St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-1316
Mailing Country
US
Mailing Phone
(716) 835-4011
Mailing Fax
(716) 835-0253
Practice Street Address
3350 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-1316
Practice Country
US
Practice Phone
(716) 835-4011
Practice Fax
(716) 835-0253
Enumeration Date
September 08, 2020
Last Updated
December 01, 2020
Sex
Male
Sole Proprietor
No
Certification Date
December 01, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)