Whalio Doctors

NPI 1073989851

The National Witness Project, INC

Organisation Point of Service Buffalo, NY

Practice location

Address
669 Kensington Ave, Buffalo, NY 14215-2644
Phone
(716) 845-1389
Fax
(716) 845-4069

Authorised official

Name
Detric Dee Johnson
Title
Project Director
Phone
(716) 550-6354

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1073989851
Entity type
Organization
NPI issued
17 Aug 2015
Record last updated
24 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.