Individual
MADELINE KOTRIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3350 MAIN ST, BUFFALO, NY 14214-1316
(716) 835-4011
(716) 835-0253
Mailing address
3350 MAIN ST, BUFFALO, NY 14214-1316
(716) 835-4011
(716) 835-0253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/01/2021
Last updated
09/10/2024
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