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Nicholas Michael Randall
Peer Specialist in Orchard Park, New York
NPI 1366090540

Nicholas Michael Randall is a Peer Specialist based in Orchard Park, NY. Nicholas Michael Randall practices in Orchard Park, NY. The NPI Number for Nicholas Michael Randall is 1366090540 and holds a License No. (New York).

The current practice location address for Nicholas Michael Randall is 3176 Abbott Rd Ste 500, Orchard Park, NY and can be reached out via phone at 716-822-2177 and via fax at 716-822-8165. You can also correspond with Nicholas Michael Randall through the mailing address at 3176 ABBOTT RD STE 500, ORCHARD PARK, NY - 14127-1069 (mailing address contact number: 716-822-2177).

Location: 3176 Abbott Rd Ste 500, Orchard Park, NY, 14127-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366090540
Provider Name
Nicholas Michael Randall
Credential
Provider Entity Type
Individual
Gender
Male
Address
3176 Abbott Rd Ste 500, Orchard Park, NY, 14127-1069
Phone Number
716-822-2177
Fax Number
716-822-8165
Provider Enumeration Date
08/30/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3176 Abbott Rd Ste 500
City
Orchard Park
State
New York
Zip
14127-1069
Phone Number
716-822-2177
Fax Number
716-822-8165
person
Provider Business Mailing Address Details
Address
3176 Abbott Rd Ste 500
City
Orchard Park
State
New York
Zip
14127-1069
Phone Number
716-822-2177
Fax Number
716-822-8165
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
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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