National Provider Identifier

Grace Ravines

Grace Ravines is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 862-3121.

NPI 1477335172Buffalo, NYSocial Worker

Profile Overview

NPI
1477335172
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
October 17, 2023
Last Updated
October 17, 2023

Practice Location

  • 3495 Bailey Ave
  • Buffalo, NY 14215-1129

Phone: (716) 862-3121

Mailing Address

  • 79 Glenalby RD
  • Tonawanda, NY 14150-7517

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1477335172
Entity Type
Individual
Last Name
Ravines
First Name
Grace
Mailing Street Address
79 Glenalby RD
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-7517
Mailing Country
US
Mailing Phone
(917) 515-4742
Practice Street Address
3495 Bailey Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14215-1129
Practice Country
US
Practice Phone
(716) 862-3121
Enumeration Date
October 17, 2023
Last Updated
October 17, 2023
Sex
Female
Sole Proprietor
No
Certification Date
October 17, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)