National Provider Identifier
Carissa Marie St. John
Carissa Marie St. John 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) 710-4393.
Profile Overview
- NPI
- 1699417642
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- April 11, 2022
- Last Updated
- April 11, 2022
Practice Location
- 1050 Niagara St
- Buffalo, NY 14213-2001
Phone: (716) 710-4393
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1699417642
- Entity Type
- Individual
- Last Name
- St. John
- First Name
- Carissa
- Middle Name
- Marie
- Mailing Street Address
- 1050 Niagara St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14213-2001
- Mailing Country
- US
- Practice Street Address
- 1050 Niagara St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14213-2001
- Practice Country
- US
- Practice Phone
- (716) 710-4393
- Enumeration Date
- April 11, 2022
- Last Updated
- April 11, 2022
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 11, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)