| Spectrum Human Services | |
|
1370 Niagara Falls Blvd Tonawanda NY 14150-8441 | |
| (716) 831-1856 | |
| (716) 831-0263 |
| Full Name | Spectrum Human Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1370 Niagara Falls Blvd, Tonawanda, 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 Orchard Park NY 14127-2600 Ph: (716) 662-2040 | Spectrum Human Services 1370 Niagara Falls Blvd Tonawanda NY 14150-8441 Ph: (716) 831-1856 |
| NPI Number | 1275707101 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275707101 | NPI | - | NPPES |
| 00660577 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 6845110A (New York) | Primary |
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