Organization
CHILD AND FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA ELIZABETH DAVID LCSW-R (SENIOR MENTAL HEALTH CLINICIAN)
(716) 842-2750
Entity
Organization
Contact information
Practice address
330 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 842-2750
(716) 842-0668
Mailing address
330 DELAWARE AVE, BUFFALO, NY 14202-1804
(716) 842-2750
(716) 842-0668
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
R034454-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00034454
—
NY
01
—
000525335001
BLUE CROSS/BLUE SHIELD
NY
Enumeration date
10/20/2006
Last updated
08/22/2020
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