Organization
GATEWAY-LONGVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES SAMPSON (CEO)
(716) 783-3176
Entity
Organization
Contact information
Practice address
605 NIAGARA ST, BUFFALO, NY 14201-1044
(716) 783-3224
Mailing address
18 SCOTLAND RD, AKRON, NY 14001-1101
(716) 783-3224
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
0604851
NY
Other
Enumeration date
12/06/2010
Last updated
12/06/2010
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