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Organization
PBNJ ENTERPRISES, LLC
Active
Organization
PBNJ ENTERPRISES, LLC
Active
Other names
SowFit Buffalo Sports and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
JOSCELYNN BAIO (CEO)
(716) 249-2010
Entity
Organization
Contact information
Practice address
1940 KENMORE AVE, BUFFALO, NY 14217-2525
(716) 249-2010
Mailing address
108 MORNINGSTAR CT, BUFFALO, NY 14221-4957
(716) 490-0506
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251K00000X
Public Health or Welfare Agency
Primary
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QF0400X
Federally Qualified Health Center (FQHC)
—
NULL
Other
Enumeration date
05/20/2021
Last updated
05/23/2021
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