Ms Malerie Marie Staskiewicz, | |
6321 Inducon Dr E, Sanborn, NY 14132-9016 | |
(716) 650-5550 | |
Not Available |
Full Name | Ms Malerie Marie Staskiewicz |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6321 Inducon Dr E, Sanborn, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083102362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 01070401 (New York) | Primary |
Entity Name | Horizon Health Services Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043387152 PECOS PAC ID: 5698689925 Enrollment ID: O20031119000414 |
Mailing Address | Practice Location Address |
---|---|
Ms Malerie Marie Staskiewicz, 55 Dodge Rd, Getzville, NY 14068-1205 Ph: (716) 831-2700 | Ms Malerie Marie Staskiewicz, 6321 Inducon Dr E, Sanborn, NY 14132-9016 Ph: (716) 650-5550 |
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 | |
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 |