| Spectrum Human Services | |
|
2040 Seneca St Buffalo NY 14210-2324 | |
| (716) 828-0560 | |
| (716) 828-1522 |
| Full Name | Spectrum Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2040 Seneca St, Buffalo, New York |
| Authorized Official Name and Position | Bruce Nisbet (PRESIDENT/CEO) |
| Authorized Official Contact | 7166622040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spectrum Human Services 227 Thorn Ave Box 631 Orchard Park NY 14127-2600 Ph: (716) 662-2040 | Spectrum Human Services 2040 Seneca St Buffalo NY 14210-2324 Ph: (716) 828-0560 |
| NPI Number | 1093980856 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 07/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093980856 | NPI | - | NPPES |
| 8401220 | Other | NY | IHA |
| 040727000154 | Other | NY | MEDICAID MANAGED CARE |
| 00660577 | Medicaid | NY | |
| 0001122770 | Other | NY | UNIVERA |
| 000507634001 | Other | NY | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6845102A (New York) | Primary |
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