Provider Demographics
NPI:1689204117
Name:FATHI, OMEED HOPE
Entity Type:Individual
Prefix:
First Name:OMEED
Middle Name:HOPE
Last Name:FATHI
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 1:55 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 1:1376 NIAGARA FALLS BLVD STE 4
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-8431
Practice Address - Country:US
Practice Address - Phone:716-463-2919
Practice Address - Fax:716-302-8326
Is Sole Proprietor?:No
Enumeration Date:2020-01-23
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)