National Provider Identifier

Justin David Admiral

Justin David Admiral is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 856-2587.

NPI 1932332301Buffalo, NYMental Health Counselor

Profile Overview

NPI
1932332301
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
September 01, 2009
Last Updated
July 30, 2012

Practice Location

  • 430 Niagara St
  • Buffalo, NY 14201-1886

Phone: (716) 856-2587

Mailing Address

  • PO Box 394
  • Buffalo, NY 14205-0394

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1932332301
Entity Type
Individual
Last Name
Admiral
First Name
Justin
Middle Name
David
Mailing Street Address
PO Box 394
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14205-0394
Mailing Country
US
Mailing Phone
(716) 553-8560
Mailing Fax
(716) 856-2608
Practice Street Address
430 Niagara St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14201-1886
Practice Country
US
Practice Phone
(716) 856-2587
Practice Fax
(716) 856-2608
Enumeration Date
September 01, 2009
Last Updated
July 30, 2012
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)