Organization
BEHAVIORAL HEALTH ASSOCIATES OF WNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD A. COOKE M.D. (SOLE PROPRIETOR)
(716) 836-9460
Entity
Organization
Contact information
Practice address
884 BRIGHTON RD, TONAWANDA, NY 14150-8169
(716) 836-9460
(716) 836-9462
Mailing address
884 BRIGHTON RD, TONAWANDA, NY 14150-8169
(716) 836-9460
(716) 836-9462
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
194617-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00021038804
UNIVERA
NY
05
—
01830693
—
NY
01
—
0192582
IHA
NY
Enumeration date
12/29/2006
Last updated
07/15/2008
Update your record
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