| Community Missions Of Niagara Frontier, Inc. | |
|
1570 Buffalo Ave Niagara Falls NY 14303-1516 | |
| (716) 285-3403 | |
| Not Available |
| Full Name | Community Missions Of Niagara Frontier, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1570 Buffalo Ave, Niagara Falls, New York |
| Authorized Official Name and Position | Nathalene Mosley (FINANCE MANAGER) |
| Authorized Official Contact | 7162853403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Missions Of Niagara Frontier, Inc. 1570 Buffalo Avenue Niagara Falls NY 14303-1516 Ph: (716) 285-3403 | Community Missions Of Niagara Frontier, Inc. 1570 Buffalo Ave Niagara Falls NY 14303-1516 Ph: (716) 285-3403 |
| NPI Number | 1962622118 |
|---|---|
| Provider Enumeration Date | 04/30/2007 |
| Last Update Date | 08/09/2017 |
| Medicare PECOS PAC ID | 5294908711 |
|---|---|
| Medicare Enrollment ID | O20111028000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962622118 | NPI | - | NPPES |
| 01432879 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (New York) | Primary |
| Provider Name | Jaime A Pabilonia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700953999 PECOS PAC ID: 8325211857 Enrollment ID: I20111028000417 |
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