# WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447131545
- **Authorized official:** NICOLE KMICINSKI (CEO)
- **Authorized official phone:** (716) 431-5100

## Contact information

- **Practice address:** 742 DELAWARE AVE, BUFFALO, NY 14209-2202
- **Practice address phone:** (716) 431-5100
- **Mailing address:** 742 DELAWARE AVE, BUFFALO, NY 14209-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174H00000X | Health Educator | — | NULL | Yes |
| 174H00000X | Health Educator | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2025
- **Last updated:** 09/08/2025