Provider Demographics
NPI:1871533091
Name:BUTTON, KARLA C
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:C
Last Name:BUTTON
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 1:36 THOMAS INDIAN SCHOOL DRIVE
Mailing Address - Street 2:CATTARAUGUS INDIAN RESERVATION HEALTH CENTER
Mailing Address - City:IRVING
Mailing Address - State:NY
Mailing Address - Zip Code:14081
Mailing Address - Country:US
Mailing Address - Phone:716-532-5582
Mailing Address - Fax:716-532-8324
Practice Address - Street 1:36 THOMAS INDIAN SCHOOL DRIVE
Practice Address - Street 2:CATTARAUGUS INDIAN RESERVATION HEALTH CENTER
Practice Address - City:IRVING
Practice Address - State:NY
Practice Address - Zip Code:14081
Practice Address - Country:US
Practice Address - Phone:716-532-5582
Practice Address - Fax:716-532-8324
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR041141104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000590231001OtherBC/BS OF WNY
NY6290274OtherINDEPENDENT HEALTH
NY00026439601OtherUNIVERA HEALTHCARE
NY552890OtherVALUE OPTIONS