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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SHELLEY GALVIN (VICE PRESIDENT)
(716) 725-7163
Entity
Organization

Contact information

Practice address
4711 WINDING WOODS LN, HAMBURG, NY 14075-5457
(716) 725-7163
Mailing address
4711 WINDING WOODS LN, HAMBURG, NY 14075-5457
(716) 725-7163

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
04/13/2017
Last updated
04/13/2017
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