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Kevin Modlmayer
NPI 1134420417 · on the registry since 2010
Practice
- Address
- 1487 Main St
Buffalo, NY 14209 - Phone
- (716) 881-2405
- Fax
- (716) 881-2425
- Organisation at this address
- Child And Adolescent Treatment Services Inc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 14
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2010-11-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York