| Buffalo Psychology Group | |
|
290 Woodward Ave Buffalo NY 14214-1905 | |
| (716) 833-6084 | |
| Not Available |
| Full Name | Buffalo Psychology Group |
|---|---|
| Speciality | Psychologist |
| Location | 290 Woodward Ave, Buffalo, New York |
| Authorized Official Name and Position | Candice P. Unger (MANAGER) |
| Authorized Official Contact | 7168336084 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Buffalo Psychology Group 290 Woodward Ave Buffalo NY 14214-1905 Ph: (716) 833-6084 | Buffalo Psychology Group 290 Woodward Ave Buffalo NY 14214-1905 Ph: (716) 833-6084 |
| NPI Number | 1568460988 |
|---|---|
| Provider Enumeration Date | 07/09/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2365411428 |
|---|---|
| Medicare Enrollment ID | O20040927000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568460988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 006789-1 (New York) | Primary |
| Provider Name | Thomas Edward Unger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194723510 PECOS PAC ID: 4981673043 Enrollment ID: I20130531000011 |
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