Individual
TONJA LYNN BANGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
77 BROADWAY ST, BUFFALO, NY 14203-1642
(716) 834-6401
Mailing address
77 BROADWAY ST, BUFFALO, NY 14203-1642
(716) 834-6401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CRPA-5796
NY
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
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