Organization
WESTERN NEW YORK INTEGRATED CARE COLLABORATIVE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KMICINSKI RD (EXECUTIVE DIRECTOR)
(716) 431-5100
Entity
Organization
Contact information
Practice address
742 DELAWARE AVE, BUFFALO, NY 14209-2202
(716) 431-5100
Mailing address
742 DELAWARE AVE, BUFFALO, NY 14209-2202
(716) 431-5100
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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