Individual
MICHAEL ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3020 BAILEY AVE, BUFFALO, NY 14215
(716) 831-2700
Mailing address
3020 BAILEY AVE, BUFFALO, NY 14215-2814
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
06/13/2017
Last updated
06/13/2017
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