National Provider Identifier

Michael Sobotka

Michael Sobotka is listed in the NPPES registry with a primary specialty of Peer Specialist in Hamburg, NY and a listed phone number of (716) 646-4991.

NPI 1972220374Hamburg, NYPeer Specialist

Profile Overview

NPI
1972220374
Provider Type
Individual
Primary Specialty
Peer Specialist
Enumeration Date
October 26, 2022
Last Updated
October 26, 2022

Practice Location

  • 140 Pine St
  • Hamburg, NY 14075

Phone: (716) 646-4991

Specialties

  • Peer Specialist (175T00000X)
Full Record
NPI
1972220374
Entity Type
Individual
Last Name
Sobotka
First Name
Michael
Mailing Street Address
140 Pine St
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075
Mailing Country
US
Mailing Phone
(716) 646-4991
Mailing Fax
(716) 646-4990
Practice Street Address
140 Pine St
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075
Practice Country
US
Practice Phone
(716) 646-4991
Practice Fax
(716) 646-4990
Enumeration Date
October 26, 2022
Last Updated
October 26, 2022
Sex
Male
Sole Proprietor
Yes
Certification Date
October 19, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Peer Specialist (175T00000X)