Individual provider · Type 1 NPI

Tanisa Bancroft-Rivera

Mental Health Counselor · Buffalo, NY

NPI number 1477068807 Active

Practice location

1280 Main St
Buffalo, NY 14209-1912

Call (716) 884-5797 Map

Fax (716) 882-0293

Mailing address

227 Thorn Ave
Orchard Park, NY 14127-2600

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X013897 (NY)

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About NPI 1477068807

Tanisa Bancroft-Rivera's National Provider Identifier is 1477068807, issued on Dec 7, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Sep 13, 2023.