National Provider Identifier
Phyllis Ann Komroy, LCSW
Phyllis Ann Komroy, LCSW is listed in the NPPES registry with a primary specialty of Professional Counselor in Buffalo, NY and a listed phone number of (716) 565-2092.
Profile Overview
- NPI
- 1790730141
- Provider Type
- Individual
- Primary Specialty
- Professional Counselor
- Enumeration Date
- May 24, 2006
- Last Updated
- July 22, 2010
Practice Location
- 765 Wehrle Dr
- Buffalo, NY 14225-1319
Phone: (716) 565-2092
Mailing Address
- 339 Walton Dr
- Amherst, NY 14226-4845
Specialties
- Professional Counselor (101YP2500X)
Full Record
- NPI
- 1790730141
- Entity Type
- Individual
- Last Name
- Komroy
- First Name
- Phyllis
- Middle Name
- Ann
- Name Prefix
- Mrs.
- Credential
- LCSW
- Provider Other Last Name
- Burgio
- Provider Other First Name
- Phyllis
- Provider Other Middle Name
- Ann
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- CSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 339 Walton Dr
- Mailing City
- Amherst
- Mailing State
- NY
- Mailing ZIP Code
- 14226-4845
- Mailing Country
- US
- Mailing Phone
- (716) 839-1046
- Practice Street Address
- 765 Wehrle Dr
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14225-1319
- Practice Country
- US
- Practice Phone
- (716) 565-2092
- Practice Fax
- (716) 634-1317
- Enumeration Date
- May 24, 2006
- Last Updated
- July 22, 2010
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Professional Counselor (101YP2500X)