Organization
ASPIRE OF WESTERN NEW YORK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER BALL (CFO)
(716) 505-5564
Entity
Organization
Contact information
Practice address
7 COMMUNITY DR, CHEEKTOWAGA, NY 14225-2523
(716) 505-5630
Mailing address
2356 N FOREST RD, GETZVILLE, NY 14068-1224
(716) 505-5560
(716) 894-0148
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011235101
UNIVERA
NY
05
—
00474924
—
NY
01
—
512062001
BLUE CROSS
NY
01
—
9009937
IHA
NY
01
—
CB9169
MEDICARE RAILROAD
NY
Enumeration date
10/06/2006
Last updated
11/05/2025
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