Ethan Bradley Dalton

NPI #1396695599 in Kenmore, New York

Provider Information

NPI Number
1396695599
Entity Type
Individual
Name
Ethan Bradley Dalton
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Jan 29, 2026
Last Updated
Jan 29, 2026

Practice Location

Address
2495 ELMWOOD AVE
ZIP Code
14217-2222
Phone
(716) 882-2127

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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