| City Of Buffalo Division Of Substance Abuse | |
|
191 North St Suite 110 Buffalo NY 14201-1510 | |
| (716) 886-2137 | |
| Not Available |
| Full Name | City Of Buffalo Division Of Substance Abuse |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 191 North St, Buffalo, New York |
| Authorized Official Name and Position | Jill White (REIMBURSEMENT SPECIALIST) |
| Authorized Official Contact | 7168862137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| City Of Buffalo Division Of Substance Abuse 191 North St Suite 110 Buffalo NY 14201-1510 Ph: (716) 886-2137 | City Of Buffalo Division Of Substance Abuse 191 North St Suite 110 Buffalo NY 14201-1510 Ph: (716) 886-2137 |
| NPI Number | 1861604613 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861604613 | NPI | - | NPPES |
| 00752823 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (New York) | Primary |
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