Organization
VAWNYHS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA LEIGH LCSW-R , CASAC (SOCIAL WORK EXECUTIVE)
(716) 862-3100
Entity
Organization
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 862-3100
Mailing address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
045014
NY
Other
Enumeration date
10/01/2009
Last updated
10/01/2009
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