Provider Demographics
NPI:1184385825
Name:COIA, KALI CRISTINE
Entity type:Individual
Prefix:
First Name:KALI
Middle Name:CRISTINE
Last Name:COIA
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 1:6350 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5821
Mailing Address - Country:US
Mailing Address - Phone:716-474-1090
Mailing Address - Fax:
Practice Address - Street 1:611 WILLET RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14218-3761
Practice Address - Country:US
Practice Address - Phone:716-249-8083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2022-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist