National Provider Identifier

Donald Kitungano Etulo

Donald Kitungano Etulo 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.

NPI 1912693128Buffalo, NYCase Manager/Care Coordinator

Profile Overview

NPI
1912693128
Provider Type
Individual
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
April 12, 2023
Last Updated
April 12, 2023

Practice Location

  • 1050 Niagara St
  • Buffalo, NY 14213-2001

Phone: (716) 710-4393

Specialties

  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1912693128
Entity Type
Individual
Last Name
Etulo
First Name
Donald
Middle Name
Kitungano
Mailing Street Address
1050 Niagara St
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14213-2001
Mailing Country
US
Mailing Phone
(716) 710-4393
Mailing Fax
(716) 856-5614
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 12, 2023
Last Updated
April 12, 2023
Sex
Male
Sole Proprietor
No
Certification Date
April 12, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Case Manager/Care Coordinator (171M00000X)