Organization
CHAUTAUQUA HOSPICE AND PALLIATIVE CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TESTA (PRESIDENT/CEO)
(716) 338-0033
Entity
Organization
Contact information
Practice address
20 WEST FAIRMOUNT AVE, LAKEWOOD, NY 14750-1702
(716) 338-0033
(716) 338-1575
Mailing address
20 WEST FAIRMOUNT AVE, LAKEWOOD, NY 14750-1702
(716) 338-0033
(716) 338-1575
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0622501F
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011476301
UNIVERA
—
05
—
01406284
—
NY
01
—
561
BLUE CROSS
—
Enumeration date
10/27/2006
Last updated
08/11/2022
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