| Avalon Centers, Inc. | |
|
346 Harris Hill Rd Williamsville NY 14221-7407 | |
| (716) 839-0999 | |
| (716) 839-2058 |
| Full Name | Avalon Centers, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 346 Harris Hill Rd, Williamsville, New York |
| Authorized Official Name and Position | Arthur Boese (CEO) |
| Authorized Official Contact | 7168390999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avalon Centers, Inc. 346 Harris Hill Rd Williamsville NY 14221-7407 Ph: (716) 839-0999 | Avalon Centers, Inc. 346 Harris Hill Rd Williamsville NY 14221-7407 Ph: (716) 839-0999 |
| NPI Number | 1013976513 |
|---|---|
| Provider Enumeration Date | 03/22/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013976513 | NPI | - | NPPES |
| 00030010901 | Other | NY | UNIVERA |
| 050505000054 | Other | NY | FIDELIS |
| 8090017 | Other | NY | INDEPENDENT HEALTH |
| 000526352001 | Other | NY | BLUE CROSS BLUE SHIELD |
| 7340621 | Other | NY | GHI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 9255320A (New York) | Primary |
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