Individual
KELLI GAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 WILLIAM ST, BUFFALO, NY 14204-1811
(716) 289-0204
Mailing address
1526 WALDEN AVE, BUFFALO, NY 14225-4965
(716) 867-6500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/18/2018
Last updated
09/18/2018
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