Maryann Antonelli in Buffalo - Clinical

Maryann Antonelli - NPI 1194921999

Maryann Antonelli is a Clinical in Buffalo, New York. Maryann Antonelli practices all healthcare services and medical treatments related to Clinical. The NPI Number for Maryann Antonelli is 1194921999. The last update date is 2007-07-08.

Maryann Antonelli's current location address is 1300 Niagara St, Buffalo, New York. You can contact this provider via phone number 7168825959 and fax number 7168829277. The mailing address for Maryann Antonelli is 1300 Niagara St, Buffalo, New York. To know further, please read the information below!

Provider Profile Detail

Provider Name Maryann Antonelli
Address 1300 Niagara St, Buffalo, New York
Phone Number 7168825959
Fax Number 7168829277
Sole Proprietor N
Credentials LCSWR

NPI Number Detail

NPI Number 1194921999
Provider Enumeration Date 2007-06-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1300 Niagara St
City Buffalo
State New York (NY)
Post Code 142131503
Phone Number 7168825959
Fax Number 7168829277

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Licence No R046290-1
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
525362001 NY BLUE CROSS BLUE SHIELD
40426031160 NY FIDELS
7406041 NY GHI

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FAQs about Maryann Antonelli

What is the unique 10-digit identifier code issued to Maryann Antonelli by the Centers for Medicare & Medicaid Services?

The Maryann Antonelli has been assigned the NPI (National Provider Identifier) 1194921999 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Maryann Antonelli?

The Maryann Antonelli is physically situated at 1300 Niagara St, in the city of Buffalo, state of NY, with the postal code 142131503.

What is Maryann Antonelli's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Maryann Antonelli is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.

On what date did the Maryann Antonelli receive its 1194921999 assignment from the Centers for Medicare & Medicaid Services?

The Maryann Antonelli was assigned its 1194921999 by the Centers for Medicare & Medicaid Services on 2007-06-27.

When was the information pertaining to Maryann Antonelli most recently updated or revised?

The details related to Maryann Antonelli, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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