Brenden Kyle Diaz
Individual provider Active NPI Case Management Agency · Getzville, NY
NPI 1801389366 · NPPES record last updated Jun 10, 2018
Key facts
- NPI
- 1801389366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Management Agency 251B00000X
- Practice address
- 260 Campbell Blvd
Getzville, NY 14068-1500 - Phone
- (716) 428-1229
- NPI assigned
- Jun 10, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Yes |
Addresses
Primary practice location
260 Campbell Blvd
Getzville, NY 14068-1500
Mailing address
260 Campbell Blvd
Getzville, NY 14068-1500
Phone (716) 428-1229
Other providers in Getzville, NY
- Willie Abbott Dantzler
- Leslie Genevieve Davies
- Diana R Demarco
- Anna Demartin
- Mariah M Demmin
- Megan Nichole Diaz
- Kathryn Digennaro
- Brittany Distefano
- Angela Docenko
- Bom Dokko
All providers in Getzville, NY · Case Management Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.