Woodbridge Counseling Lcsw Pc | |
6161 Transit Road Suite 4 East Amherst NY 14051 | |
(716) 572-2365 | |
(716) 332-1168 |
Full Name | Woodbridge Counseling Lcsw Pc |
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Speciality | Social Worker |
Location | 6161 Transit Road, East Amherst, New York |
Authorized Official Name and Position | Lewis J Novotny (PRESIDENT DIRECTOR CLIN SOCIAL WKR) |
Authorized Official Contact | 7165722365 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Woodbridge Counseling Lcsw Pc 6161 Transit Road Suite 4 East Amherst NY 14051 Ph: (716) 572-2365 | Woodbridge Counseling Lcsw Pc 6161 Transit Road Suite 4 East Amherst NY 14051 Ph: (716) 572-2365 |
NPI Number | 1003907973 |
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Provider Enumeration Date | 09/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003907973 | NPI | - | NPPES |
11579263 | Other | CAQ HID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | R0427401 (New York) | Primary |
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