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400 N Main St Warsaw NY 14569-1025 | |
(585) 786-2233 | |
(585) 786-1222 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 400 N Main St, Warsaw, New York |
Authorized Official Name and Position | Michael A. Corcimiglia (COO) |
Authorized Official Contact | 5857868940 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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400 N Main St Warsaw NY 14569-1025 Ph: (585) 786-2233 | 400 N Main St Warsaw NY 14569-1025 Ph: (585) 786-2233 |
NPI Number | 1639156045 |
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Provider Enumeration Date | 12/28/2005 |
Last Update Date | 01/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639156045 | NPI | - | NPPES |
X0 | Other | NY | EXCELLUS BLUE CROSS |
03000800 | Medicaid | NY | |
000000028001 | Other | NY | BLUE CROSS WNY |
00310889 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | 6027000H (New York) | Primary |
Mashell A. Schell, Lcsw, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 420 N Main St, Warsaw, NY 14569 Phone: 585-616-3366 Fax: 585-757-2463 | |
Mark Varallo Md Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-2233 Fax: 585-786-1203 | |
Wyoming County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 N Main St, Warsaw, NY 14569 Phone: 585-786-1555 |