Nicole Lv Antonacci, | |
2400 Pine Ave, Niagara Falls, NY 14301-2402 | |
(716) 505-1060 | |
Not Available |
Full Name | Nicole Lv Antonacci |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2400 Pine Ave, Niagara Falls, 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 |
---|---|---|---|
1104580380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 014714 (New York) | Primary |
Entity Name | Horizon Health Services Inc |
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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 |
---|---|
Nicole Lv Antonacci, 55 Dodge Rd, Getzville, NY 14068-1205 Ph: (716) 831-2700 | Nicole Lv Antonacci, 2400 Pine Ave, Niagara Falls, NY 14301-2402 Ph: (716) 505-1060 |
Mrs. Dawn Cheryl Phillips, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 11th St., Northpointe Council Inc., Niagara Falls, NY 14301 Phone: 716-278-8110 | |
Kayla Goodrich, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1001 11th St, Niagara Falls, NY 14301 Phone: 716-278-8110 | |
Amanda Newman, LMHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4541 | |
Mr. Jeffrey Peresie, CASAC2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 11th St, Niagara Falls, NY 14301 Phone: 716-278-8110 Fax: 716-278-8111 | |
Mrs. Caitlin Marie Baughman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 11th Street, Niagara Falls, NY 14301 Phone: 716-278-8110 Fax: 716-278-8111 | |
Cearrah C Rickard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 10th St, Niagara Falls, NY 14301 Phone: 716-278-4541 | |
Ms. Sharese A. Robertson, MS,CASACI Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 Tronolone Place, Niagara Falls, NY 14301 Phone: 716-205-0825 Fax: 716-205-0824 |