Organization
ERIE COUNTY HEALTH - EARLY INTERVENTION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARTIN (DIRECTOR CHILDREN WITH SPECIAL NEED)
(716) 858-6161
Entity
Organization
Contact information
Practice address
95 FRANKLIN ST, ROOM 828, BUFFALO, NY 14202-3925
(716) 858-6161
(716) 858-6892
Mailing address
95 FRANKLIN ST, ROOM 828, BUFFALO, NY 14202-3925
(716) 858-6161
(716) 858-6892
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00474846
—
NY
05
—
03003954
—
NY
Enumeration date
03/05/2007
Last updated
07/23/2012
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