Provider Demographics
NPI:1104696855
Name:PRIOLA, ANNE-MARIE KRISTINE (MSW)
Entity type:Individual
Prefix:MS
First Name:ANNE-MARIE
Middle Name:KRISTINE
Last Name:PRIOLA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:ANNE-MARIE
Other - Middle Name:KRISTINE
Other - Last Name:DERUSSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:55 DODGE RD
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1205
Mailing Address - Country:US
Mailing Address - Phone:716-831-2700
Mailing Address - Fax:
Practice Address - Street 1:2400 PINE AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-2402
Practice Address - Country:US
Practice Address - Phone:716-505-1060
Practice Address - Fax:716-505-1065
Is Sole Proprietor?:No
Enumeration Date:2024-01-04
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No104100000XBehavioral Health & Social Service ProvidersSocial Worker