National Provider Identifier

Jacob L Sessanna

Jacob L Sessanna is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 886-1242.

NPI 1598413619Buffalo, NYPeer Specialist

Profile Overview

NPI
1598413619
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
March 17, 2022
Last Updated
March 17, 2022

Practice Location

  • 1021 Broadway St
  • Buffalo, NY 14212-1460

Phone: (716) 886-1242

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1598413619
Entity Type
Individual
Last Name
Sessanna
First Name
Jacob
Middle Name
L
Name Prefix
Mr.
Mailing Street Address
1021 Broadway St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14212-1460
Mailing Country
US
Mailing Phone
(716) 886-1242
Practice Street Address
1021 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1460
Practice Country
US
Practice Phone
(716) 886-1242
Enumeration Date
March 17, 2022
Last Updated
March 17, 2022
Sex
Male
Sole Proprietor
No
Certification Date
March 17, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)