SearchNew York1041C0700X

Edo Vander Kooy, LCSW-R

NPI 1689981417 · on the registry since 2010 · sole proprietor

Practice

Address
79 University Ave
Buffalo, NY 14214
Phone
(716) 838-1914
Fax
(716) 282-2184

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-03-02

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