Individual
MRS. PHYLLIS ANN KOMROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
765 WEHRLE DR, BUFFALO, NY 14225-1319
(716) 565-2092
(716) 634-1317
Mailing address
339 WALTON DR, AMHERST, NY 14226-4845
(716) 839-1046
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
070564-1
NY
Other
Enumeration date
05/24/2006
Last updated
07/22/2010
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