| Mary Jo Penizotto, Phd | |
|
6507 Transit Rd Ste B East Amherst NY 14051-1427 | |
| (716) 204-0100 | |
| (716) 204-2761 |
| Full Name | Mary Jo Penizotto, Phd |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6507 Transit Rd, East Amherst, New York |
| Authorized Official Name and Position | Mary Jo Penizotto (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7162040100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Jo Penizotto, Phd 6507 Transit Rd Ste B East Amherst NY 14051-1427 Ph: (716) 204-0100 | Mary Jo Penizotto, Phd 6507 Transit Rd Ste B East Amherst NY 14051-1427 Ph: (716) 204-0100 |
| NPI Number | 1386094126 |
|---|---|
| Provider Enumeration Date | 06/13/2016 |
| Last Update Date | 06/13/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386094126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 010373-1 (New York) | Primary |
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