| Endeavor | |
|
1131 Broadway St Buffalo NY 14212-1501 | |
| (716) 896-7350 | |
| Not Available |
| Full Name | Endeavor |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1131 Broadway St, Buffalo, New York |
| Authorized Official Name and Position | Cayla Marie Guadalupe (INTERN) |
| Authorized Official Contact | 7168967350 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endeavor 1131 Broadway St Buffalo NY 14212-1501 Ph: (716) 896-7350 | Endeavor 1131 Broadway St Buffalo NY 14212-1501 Ph: (716) 896-7350 |
| NPI Number | 1427416627 |
|---|---|
| Provider Enumeration Date | 02/02/2016 |
| Last Update Date | 02/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427416627 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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