Provider Demographics
NPI:1770647018
Name:ZANDER, NANCY (MSW LCSW R)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:ZANDER
Suffix:
Gender:F
Credentials:MSW LCSW R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4407 SO BUFFALO ST
Mailing Address - Street 2:AURORA COUNSELING
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127
Mailing Address - Country:US
Mailing Address - Phone:716-777-4700
Mailing Address - Fax:
Practice Address - Street 1:4407 S BUFFALO ST
Practice Address - Street 2:AURORA COUNSELING
Practice Address - City:ORCHARD PARK
Practice Address - State:NY
Practice Address - Zip Code:14127-2611
Practice Address - Country:US
Practice Address - Phone:716-777-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037535R103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY19119BMedicare UPIN