Provider Demographics
NPI:1295406536
Name:BILLMAN, TRISHA L
Entity Type:Individual
Prefix:
First Name:TRISHA
Middle Name:L
Last Name:BILLMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 SPINDRIFT DR
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7807
Mailing Address - Country:US
Mailing Address - Phone:716-238-6432
Mailing Address - Fax:716-817-2660
Practice Address - Street 1:280 SPINDRIFT DR
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7807
Practice Address - Country:US
Practice Address - Phone:716-238-6432
Practice Address - Fax:716-817-2660
Is Sole Proprietor?:No
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator