Individual
HUBERTO PRADO
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 BEWLEY BUILDING, LOCKPORT, NY 14094-2943
(716) 478-0315
(716) 478-0338
Mailing address
525 WASHINGTON ST, MANAGED CARE DEPARTMENT, BUFFALO, NY 14203-1711
(716) 856-4494
(716) 842-1277
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
118707
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241506
UNIVERA
NY
01
—
000506429011
COMMUNITY BLUE
NY
Enumeration date
05/27/2006
Last updated
07/08/2007
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