Organization
ERIE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARTIN (DIRECTOR/EIO)
(716) 858-6360
Entity
Organization
Contact information
Practice address
95 FRANKLIN ST, BUFFALO, NY 14202-3925
(716) 858-7928
(716) 858-6892
Mailing address
95 FRANKLIN ST, BUFFALO, NY 14202-3925
(716) 858-7928
(716) 858-6892
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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