Organization
COMMUNITY CARE OF WESTERN NEW YORK, INC.
Active
Other names
HomeCare & Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA MARION SULLIVAN (CEO)
(716) 372-2106
Entity
Organization
Contact information
Practice address
115 E MAIN ST, ALLEGANY, NY 14706-1318
(716) 372-2106
(716) 372-1148
Mailing address
115 E MAIN ST, ALLEGANY, NY 14706-1318
(716) 372-2106
(716) 372-1148
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02588558
—
NY
Enumeration date
02/20/2007
Last updated
07/26/2024
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