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50 Dyke Rd West Seneca NY 14224-2514 | |
| (716) 635-5010 | |
| (716) 265-3801 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 50 Dyke Rd, West Seneca, New York |
| Authorized Official Name and Position | Theresa Totaro (PRACTICE MANAGER) |
| Authorized Official Contact | 7166355010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
50 Dyke Rd West Seneca NY 14224-2514 Ph: (716) 635-5010 | 50 Dyke Rd West Seneca NY 14224-2514 Ph: (716) 635-5010 |
| NPI Number | 1265168777 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/13/2023 |
| Certification Date | 07/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265168777 | NPI | - | NPPES |
| CVRP | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Vitality Counseling Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Gardenville Pkwy W Ste 114, West Seneca, NY 14224 Phone: 716-202-8428 | |