| Behavioral Health Associates Of Wny | |
|
884 Brighton Rd Tonawanda NY 14150-8169 | |
| (716) 836-9460 | |
| (716) 836-9462 |
| Full Name | Behavioral Health Associates Of Wny |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 884 Brighton Rd, Tonawanda, New York |
| Authorized Official Name and Position | Ronald A. Cooke (SOLE PROPRIETOR) |
| Authorized Official Contact | 7168369460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Health Associates Of Wny 884 Brighton Rd Tonawanda NY 14150-8169 Ph: (716) 836-9460 | Behavioral Health Associates Of Wny 884 Brighton Rd Tonawanda NY 14150-8169 Ph: (716) 836-9460 |
| NPI Number | 1447316815 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447316815 | NPI | - | NPPES |
| 00021038804 | Other | NY | UNIVERA |
| 0192582 | Other | NY | IHA |
| 01830693 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 194617-1 (New York) | Primary |
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