| Fca Of Wny, Inc | |
|
884 Brighton Rd Tonawanda NY 14150-8169 | |
| (716) 836-9460 | |
| (716) 836-9462 |
| Full Name | Fca Of Wny, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 884 Brighton Rd, Tonawanda, New York |
| Authorized Official Name and Position | Jeff Roach (OWNER) |
| Authorized Official Contact | 7168369460 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fca Of Wny, Inc 884 Brighton Rd Tonawanda NY 14150-8169 Ph: (716) 836-9460 | Fca Of Wny, Inc 884 Brighton Rd Tonawanda NY 14150-8169 Ph: (716) 836-9460 |
| NPI Number | 1437445392 |
|---|---|
| Provider Enumeration Date | 06/20/2011 |
| Last Update Date | 06/20/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437445392 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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