person
Edward Revere
Peer Specialist in Buffalo, New York
NPI 1023739273

Edward Revere is a Peer Specialist based in Orchard Park, NY. Edward Revere practices in Buffalo, NY. The NPI Number for Edward Revere is 1023739273 and holds a License No. CRPA-5254 (New York).

The current practice location address for Edward Revere is 1021 Broadway St, Buffalo, NY and can be reached out via phone at 716-662-2040 and via fax at 716-662-0019.

Location: 1021 Broadway St, Buffalo, NY, 14127-2600
person
Provider Profile Details
NPI Number
1023739273
Provider Name
Edward Revere
Credential
Provider Entity Type
Individual
Gender
Male
Address
1021 Broadway St, Buffalo, NY, 14127-2600
Phone Number
716-662-2040
Fax Number
716-662-0019
Provider Enumeration Date
09/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1021 Broadway St
City
State
Zip
14212-1460
Phone Number
716-662-2040
Fax Number
716-662-0019
person
Provider Business Mailing Address Details
Address
1021 Broadway St
City
State
Zip
14212-1460
Phone Number
716-662-2040
Fax Number
716-662-0019
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
CRPA-5254 (New York)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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