Individual
BRANDON MARK DAMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 853-1335
(716) 853-1598
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 853-1335
(716) 853-1598
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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