| Value Network Llc Ipa | |
|
227 Thorn Ave Orchard Park NY 14127-2600 | |
| (716) 539-5329 | |
| (716) 662-2040 |
| Full Name | Value Network Llc Ipa |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 227 Thorn Ave, Orchard Park, New York |
| Authorized Official Name and Position | Bruce Coleman Nisbet (SECRETARY OF THE BOARD OF DIRECTORS) |
| Authorized Official Contact | 7165395329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Value Network Llc Ipa Po Box 631 Orchard Park NY 14127-0631 Ph: (716) 539-5329 | Value Network Llc Ipa 227 Thorn Ave Orchard Park NY 14127-2600 Ph: (716) 539-5329 |
| NPI Number | 1659860815 |
|---|---|
| Provider Enumeration Date | 05/03/2018 |
| Last Update Date | 05/03/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659860815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (New York) | Primary |
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