National Provider Identifier

Peter Michael Talty, OTR

Peter Michael Talty, OTR is listed in the NPPES registry with a primary specialty of Community Health Worker in Lockport, NY and a listed phone number of (716) 433-4718.

NPI 1861701567Lockport, NYCommunity Health Worker

Profile Overview

NPI
1861701567
Provider Type
Individual
Primary Specialty
Community Health Worker
Enumeration Date
September 29, 2010
Last Updated
September 29, 2010

Practice Location

  • 6000 Brockton Dr
  • Lockport, NY 14094-9273

Phone: (716) 433-4718

Mailing Address

  • 10 Bluebird Ln
  • Amherst, NY 14228-1024

Specialties

  • Community Health Worker (172V00000X)
Full Record
NPI
1861701567
Entity Type
Individual
Last Name
Talty
First Name
Peter
Middle Name
Michael
Name Prefix
Mr.
Credential
OTR
Mailing Street Address
10 Bluebird Ln
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14228-1024
Mailing Country
US
Mailing Phone
(716) 688-0022
Practice Street Address
6000 Brockton Dr
Practice City
Lockport
Practice State
NY
Practice ZIP Code
14094-9273
Practice Country
US
Practice Phone
(716) 433-4718
Enumeration Date
September 29, 2010
Last Updated
September 29, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Community Health Worker (172V00000X)