Individual provider · Type 1 NPI

Edward Revere

Peer Specialist · Buffalo, NY

NPI number 1023739273 Active

Practice location

1021 Broadway St
Buffalo, NY 14212-1460

Call (716) 662-2040 Map

Fax (716) 662-0019

Mailing address

227 Thorn Ave
Orchard Park, NY 14127-2600

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XCRPA-5254 (NY)
Peer Specialist Primary 175T00000XNYCPS-P4548 (NY)

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1023739273

Edward Revere's National Provider Identifier is 1023739273, issued on Sep 7, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Buffalo, NY. The record was last updated on Sep 7, 2022.