| Maryetta Lewis, | |
|
6301 Inducon Dr E, Sanborn, NY 14132-9014 | |
| (716) 731-2030 | |
| (716) 731-3010 |
| Full Name | Maryetta Lewis |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6301 Inducon Dr E, Sanborn, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245529890 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Maryetta Lewis, 3020 Bailey Ave, Buffalo, NY 14215-2814 Ph: () - | Maryetta Lewis, 6301 Inducon Dr E, Sanborn, NY 14132-9014 Ph: (716) 731-2030 |
Ralph Wilson, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Shannon O'keeffe, BS, CASAC-T Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Ms. Malerie Marie Staskiewicz, Counselor Medicare: Medicare Enrolled Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 | |
Joshua Bradley, Counselor Medicare: Medicare Enrolled Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 | |
Kennedy Lewandowski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6302 Inducon Dr E, Sanborn, NY 14132 Phone: 716-638-9222 | |
Patricia L Pasculle, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6301 Inducon Dr E, Sanborn, NY 14132 Phone: 716-731-2030 Fax: 716-731-3010 | |
Brittany Douglas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6321 Inducon Dr E, Sanborn, NY 14132 Phone: 716-650-5550 |