National Provider Identifier

Michael Threat

Michael Threat is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Buffalo, NY and a listed phone number of (716) 710-4095.

NPI 1578027694Buffalo, NYCase Manager/Care Coordinator

Profile Overview

NPI
1578027694
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
January 23, 2019
Last Updated
January 23, 2019

Practice Location

  • 1280 Main St
  • Buffalo, NY 14209-1912

Phone: (716) 710-4095

Mailing Address

  • 227 Thorn Ave
  • Orchard Park, NY 14127-2600

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1578027694
Entity Type
Individual
Last Name
Threat
First Name
Michael
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) 710-4095
Practice Fax
(716) 884-4938
Enumeration Date
January 23, 2019
Last Updated
January 23, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)