Individual
ALICIA COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 RIDGE RD, BUFFALO, NY 14218-1755
(716) 825-8644
Mailing address
246 ENGLEWOOD AVE UPPR, BUFFALO, NY 14214-1253
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0822172
NY
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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