Organization
NORTHTOWNS PSYCHIATRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S MOGERMAN M.D. (OFFICER)
(716) 831-9030
Entity
Organization
Contact information
Practice address
479 ENGLEWOOD AVE, NORTHTOWNS PSYCHIATRY PC, TONAWANDA, NY 14223-2862
(716) 831-9030
(716) 831-9075
Mailing address
479 ENGLEWOOD AVE, TONAWANDA, NY 14223-2862
(716) 831-9030
(716) 831-9075
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
196919
NY
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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