National Provider Identifier

Moses Mandrell Duncan, NYCPS

Moses Mandrell Duncan, NYCPS is listed in the NPPES registry with a primary specialty of Peer Specialist in Buffalo, NY and a listed phone number of (716) 895-6700.

NPI 1811663859Buffalo, NYPeer Specialist

Profile Overview

NPI
1811663859
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
August 19, 2021
Last Updated
August 19, 2021

Practice Location

  • 1131 Broadway St
  • Buffalo, NY 14212-1501

Phone: (716) 895-6700

Mailing Address

  • 1526 Walden Ave
  • Cheektowaga, NY 14225-4965

Specialties

  • Peer Specialist (175T00000X)

Endpoints

  • Mduncan@ehsny.org

    Direct Messaging Address | Buffalo, NY 14212

Full Record
NPI
1811663859
Entity Type
Individual
Last Name
Duncan
First Name
Moses
Middle Name
Mandrell
Credential
NYCPS
Mailing Street Address
1526 Walden Ave
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4965
Mailing Country
US
Mailing Phone
(716) 380-9702
Practice Street Address
1131 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1501
Practice Country
US
Practice Phone
(716) 895-6700
Enumeration Date
August 19, 2021
Last Updated
August 19, 2021
Sex
Male
Sole Proprietor
No
Certification Date
August 19, 2021
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)