Individual
ANDREW IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2926
(716) 816-2537
Mailing address
400 FOREST AVE, BUFFALO, NY 14213-1207
(716) 816-2926
(716) 816-2537
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
093165
NY
Other
Enumeration date
09/23/2014
Last updated
03/07/2017
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