National Provider Identifier
Zachary Ogden Logan
Zachary Ogden Logan is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Buffalo, NY and a listed phone number of (716) 884-0700.
Profile Overview
- NPI
- 1619487691
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- October 04, 2017
- Last Updated
- October 04, 2017
Practice Location
- 1050 Niagara St
- Buffalo, NY 14213-2007
Phone: (716) 884-0700
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Full Record
- NPI
- 1619487691
- Entity Type
- Individual
- Last Name
- Logan
- First Name
- Zachary
- Middle Name
- Ogden
- Mailing Street Address
- 1050 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2007
- Mailing Country
- US
- Mailing Phone
- (716) 884-0700
- Mailing Fax
- (716) 884-0631
- Practice Street Address
- 1050 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2007
- Practice Country
- US
- Practice Phone
- (716) 884-0700
- Practice Fax
- (716) 884-0631
- Enumeration Date
- October 04, 2017
- Last Updated
- October 04, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)