National Provider Identifier

Colleen Brady Barrientos, MD

Colleen Brady Barrientos, MD is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Buffalo, NY and a listed phone number of (716) 829-2802.

NPI 1801686852Buffalo, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1801686852
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
May 12, 2025
Last Updated
May 22, 2025

Practice Location

  • 955 Main St
  • Buffalo, NY 14203-1121

Phone: (716) 829-2802

Mailing Address

  • 11 Byron Ave
  • Buffalo, NY 14223-3113

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1801686852
Entity Type
Individual
Last Name
Barrientos
First Name
Colleen
Middle Name
Brady
Credential
MD
Provider Other Last Name
Brady
Provider Other First Name
Colleen
Provider Other Credential Text
MS, RD
Provider Other Last Name Type Code
1
Mailing Street Address
11 Byron Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14223-3113
Mailing Country
US
Practice Street Address
955 Main St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14203-1121
Practice Country
US
Practice Phone
(716) 829-2802
Enumeration Date
May 12, 2025
Last Updated
May 22, 2025
Sex
Female
Sole Proprietor
No
Certification Date
May 22, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)