Organization
WESTERN NEW YORK INDEPENDENT LIVING, INC.
Active
Parent organization
WESTERN NEW YORK INDEPENDENT LIVING, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN NEW YORK INDEPENDENT LIVING, INC.
Authorized official
DOUGLAS J USIAK (CEO)
(716) 836-0822
Entity
Organization
Contact information
Practice address
3108 MAIN ST, BUFFALO, NY 14214-1362
(716) 836-0822
Mailing address
3108 MAIN ST, BUFFALO, NY 14214-1362
(716) 836-0822
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02005934
—
NY
05
—
06275736
—
NY
Enumeration date
08/29/2022
Last updated
10/06/2022
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