Organization
ECMC5
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RITENBURG (TEACHER)
(716) 491-0200
Entity
Organization
Contact information
Practice address
4242 RIDGE LEA RD STE 2, AMHERST, NY 14226-5122
(716) 491-0200
Mailing address
13 PARK PL, NORTH TONAWANDA, NY 14120-4316
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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