National Provider Identifier

Jeremiah Andrew Prentice

Jeremiah Andrew Prentice is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 882-2127.

NPI 1588908156Buffalo, NYSocial Worker

Profile Overview

NPI
1588908156
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
November 20, 2012
Last Updated
November 20, 2012

Practice Location

  • 1300 Niagara St
  • Buffalo, NY 14213-1503

Phone: (716) 882-2127

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1588908156
Entity Type
Individual
Last Name
Prentice
First Name
Jeremiah
Middle Name
Andrew
Name Prefix
Mr.
Mailing Street Address
1300 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-1503
Mailing Country
US
Mailing Phone
(716) 882-2127
Mailing Fax
(716) 882-9277
Practice Street Address
1300 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1503
Practice Country
US
Practice Phone
(716) 882-2127
Practice Fax
(716) 882-9277
Enumeration Date
November 20, 2012
Last Updated
November 20, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)