Phyllis Ann Komroy, LCSW
Counselor, Professional in Buffalo, NY. Individual provider (NPI-1).
NPI number1790730141
StatusActive
Last updated in NPPESJul 22, 2010
Details
- NPI
- 1790730141
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Phyllis Ann Komroy
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 24, 2006
- Last updated
- Jul 22, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 070564-1 | NY | Yes |
Other names
- Phyllis Ann Burgio (Former Name)
Practice location
765 Wehrle DrBuffalo, NY 14225-1319
Phone 716-565-2092 · Fax 716-634-1317
Mailing address
339 Walton DrAmherst, NY 14226-4845
Phone 716-839-1046
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