person
Antonette Mendola Leidolph
Peer Specialist in Buffalo, New York
NPI 1104580224

Antonette Mendola Leidolph is a Peer Specialist based in Buffalo, NY. Antonette Mendola Leidolph practices in Buffalo, NY. The NPI Number for Antonette Mendola Leidolph is 1104580224 and holds a License No. (New York).

The current practice location address for Antonette Mendola Leidolph is 1050 Niagara St, Buffalo, NY and can be reached out via phone at 716-218-5325.

Location: 1050 Niagara St, Buffalo, NY, 14213-2001
person
Provider Profile Details
NPI Number
1104580224
Provider Name
Antonette Mendola Leidolph
Credential
Provider Entity Type
Individual
Gender
Female
Address
1050 Niagara St, Buffalo, NY, 14213-2001
Phone Number
716-218-5325
Fax Number
Provider Enumeration Date
10/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1050 Niagara St
City
State
Zip
14213-2001
Phone Number
716-218-5325
Fax Number
person
Provider Business Mailing Address Details
Address
1050 Niagara St
City
State
Zip
14213-2001
Phone Number
716-218-5325
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(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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