Provider Demographics
NPI:1831487578
Name:PUNTURIERO, SARAH (LCSW)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:
Last Name:PUNTURIERO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:SARAH
Other - Middle Name:
Other - Last Name:JURCZYNSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:1028 MAIN STREET
Mailing Address - Street 2:FLOOR 2
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:25303
Mailing Address - Country:US
Mailing Address - Phone:716-859-5454
Mailing Address - Fax:716-819-3430
Practice Address - Street 1:1028 MAIN STREET
Practice Address - Street 2:FLOOR 2
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:25303
Practice Address - Country:US
Practice Address - Phone:716-859-5454
Practice Address - Fax:716-819-3430
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY082931OtherLICENSE