Koprevich, Diane Lee

Koprevich, Diane Lee is an individual health care provider with primary practice located at 97 S Buffalo St , Hamburg NY 14075-6212. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Koprevich, Diane Lee can be contacted via phone (716) 648-0650.

Contact Information

Primary practice address
97 S Buffalo St Hamburg NY 14075-6212
Phone: (716) 648-0650
Fax: (716) 648-0666
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 047102 New York

Profile Details

NPI number 1932279700
LBN Legal business name Koprevich, Diane Lee
Credentials LCSWR
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2006
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932279700 NPPES
New York MEDICAID 00671792

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