Provider Demographics
NPI:1104575604
Name:BRAUER, CYNTHIA CATHERINE (FAMILY PEER ADVOCATE)
Entity type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CATHERINE
Last Name:BRAUER
Suffix:
Gender:F
Credentials:FAMILY PEER ADVOCATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 BROADWAY ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14212-1460
Mailing Address - Country:US
Mailing Address - Phone:716-886-1242
Mailing Address - Fax:
Practice Address - Street 1:1021 BROADWAY ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14212-1460
Practice Address - Country:US
Practice Address - Phone:716-886-1242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist