National Provider Identifier

Idalma Mazariegos De Leon

Idalma Mazariegos De Leon is listed in the NPPES registry with a primary specialty of Counselor in Buffalo, NY and a listed phone number of (716) 247-8336.

NPI 1508301847Buffalo, NYCounselor

Profile Overview

NPI
1508301847
Provider Type
Individual
Primary Specialty
Counselor
Enumeration Date
December 22, 2016
Last Updated
December 22, 2016

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 247-8336

Mailing Address

  • 193 Walter Ave
  • Tonawanda, NY 14150-4035

Specialties

  • Counselor (101Y00000X)
Full Record
NPI
1508301847
Entity Type
Individual
Last Name
Mazariegos De Leon
First Name
Idalma
Mailing Street Address
193 Walter Ave
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4035
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) 247-8336
Enumeration Date
December 22, 2016
Last Updated
December 22, 2016
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Counselor (101Y00000X)