Provider Demographics
NPI:1598979015
Name:MAGYAR, RICH RAIDHO (LCSW)
Entity Type:Individual
Prefix:
First Name:RICH
Middle Name:RAIDHO
Last Name:MAGYAR
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:
Other - Last Name:MAGYAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:24 CONCORD PL APT A
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-4603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:625 DELAWARE AVE STE 204
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1007
Practice Address - Country:US
Practice Address - Phone:716-882-3151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0605861-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical