National Provider Identifier

Samantha Ciccarelli

Samantha Ciccarelli is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Buffalo, NY and a listed phone number of (716) 896-7422.

NPI 1932405727Buffalo, NYMental Health Counselor

Profile Overview

NPI
1932405727
Provider Type
Individual
Primary Specialty
Mental Health Counselor
Enumeration Date
January 27, 2011
Last Updated
October 09, 2014

Practice Location

  • 1131 Broadway St
  • Buffalo, NY 14212-1501

Phone: (716) 896-7422

Mailing Address

  • 1526 Walden Ave Ste 400
  • Cheektowaga, NY 14225-4985

Specialties

  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1932405727
Entity Type
Individual
Last Name
Ciccarelli
First Name
Samantha
Mailing Street Address
1526 Walden Ave Ste 400
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14225-4985
Mailing Country
US
Practice Street Address
1131 Broadway St
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14212-1501
Practice Country
US
Practice Phone
(716) 896-7422
Practice Fax
(716) 896-7717
Enumeration Date
January 27, 2011
Last Updated
October 09, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Mental Health Counselor (101YM0800X)