Organization
GATEWAY-LONGVIEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYNE DEFRANCO LCSW-R (PRESIDENT & CEO)
(716) 783-3100
Entity
Organization
Contact information
Practice address
605 NIAGARA ST, BUFFALO, NY 14201-1044
(716) 883-4531
(716) 883-4591
Mailing address
6350 MAIN STREET, WILLIAMSVILLE, NY 14221-5821
(716) 883-4531
(716) 883-4591
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356538
—
NY
Enumeration date
03/13/2008
Last updated
10/12/2018
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