Individual
MR. AVI ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
737 DELAWARE AVE STE 216, BUFFALO, NY 14209-2260
(716) 984-8375
(716) 259-9641
Mailing address
PO BOX 55, BUFFALO, NY 14207-0055
(716) 984-8375
(716) 259-9641
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/05/2018
Last updated
01/05/2018
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