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1010 E And West Rd West Seneca NY 14224-3602 | |
| (716) 674-9730 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1010 E And West Rd, West Seneca, New York |
| Authorized Official Name and Position | Beth Giarrusso (DIRECTOR FINANCE) |
| Authorized Official Contact | 5184733598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
44 Holland Ave Albany NY 12229-0001 Ph: (518) 473-8234 | 1010 E And West Rd West Seneca NY 14224-3602 Ph: (716) 674-9730 |
| NPI Number | 1457418683 |
|---|---|
| Provider Enumeration Date | 01/03/2007 |
| Last Update Date | 09/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457418683 | NPI | - | NPPES |
| 00769324 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (New York) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (New York) | 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 | |