National Provider Identifier
Ryan Coburn-Phillips
Ryan Coburn-Phillips is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 831-1977.
Profile Overview
- NPI
- 1508416033
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- September 17, 2019
- Last Updated
- August 15, 2024
Practice Location
- 699 Hertel Ave Ste 350
- Buffalo, NY 14207-2341
Phone: (716) 831-1977
Mailing Address
- 55 Dodge RD
- Getzville, NY 14068-1205
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1508416033
- Entity Type
- Individual
- Last Name
- Coburn-Phillips
- First Name
- Ryan
- Provider Other Last Name
- Phillips
- Provider Other First Name
- Ryan
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 55 Dodge RD
- Mailing City
- Getzville
- Mailing State
- NY
- Mailing ZIP Code
- 14068-1205
- Mailing Country
- US
- Mailing Phone
- (716) 831-2700
- Practice Street Address
- 699 Hertel Ave Ste 350
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14207-2341
- Practice Country
- US
- Practice Phone
- (716) 831-1977
- Enumeration Date
- September 17, 2019
- Last Updated
- August 15, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 15, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)