Organization
PBNJ ENTERPRISES, LLC
Active
Other names
SowFit Buffalo Sports and Fitness
Organization subpart
No
Provider details
NPI number
Authorized official
JOSCELYNN BAIO (CEO)
(716) 249-2010
Entity
Organization
Contact information
Practice address
1940 KENMORE AVE, BUFFALO, NY 14217-2525
(716) 249-2010
Mailing address
108 MORNINGSTAR CT, BUFFALO, NY 14221-4957
(716) 490-0506
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
Other
Enumeration date
05/20/2021
Last updated
05/23/2021
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