Edward Revere
Edward Revere is a Peer Specialist in Buffalo, New York. Licensed in New York. Registered with an NPI since 2022.
- Licensed in
- NY
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
1021 Broadway StBuffalo, NY 14212-1460
Phone: (716) 662-2040
Fax: (716) 662-0019
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence NYCPS-P4548 (NY) |
|---|---|
| Peer Specialist | Taxonomy 175T00000X · Licence CRPA-5254 (NY) |
Record details
| NPI number | 1023739273 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 7, 2022 |
| Last updated in NPPES | September 7, 2022 |
| Certification date | September 7, 2022 |
| Mailing address | 227 Thorn Ave, Orchard Park, NY 14127-2600 |
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