National Provider Identifier

Breanna Elizabeth Coolidge

Breanna Elizabeth Coolidge is listed in the NPPES registry with a primary specialty of Social Worker in Buffalo, NY and a listed phone number of (716) 884-0700.

NPI 1679043806Buffalo, NYSocial Worker

Profile Overview

NPI
1679043806
Provider Type
Individual
Primary Specialty
Social Worker
Enumeration Date
November 30, 2018
Last Updated
November 30, 2018

Practice Location

  • 1050 Niagara St
  • Buffalo, NY 14213-2007

Phone: (716) 884-0700

Specialties

  • Social Worker (104100000X)
Full Record
NPI
1679043806
Entity Type
Individual
Last Name
Coolidge
First Name
Breanna
Middle Name
Elizabeth
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
November 30, 2018
Last Updated
November 30, 2018
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Social Worker (104100000X)