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Organization

CAZENOVIA RECOVERY SYSTEMS, INC.

Active
Other names
Cazenovia Manor
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSAY HERNDON (CEO)
(716) 314-5903
Entity
Organization

Contact information

Practice address
486 N LEGION DR, BUFFALO, NY 14210-2341
(716) 822-8932
(716) 828-0804
Mailing address
2495 MAIN ST, BUFFALO, NY 14214-2152
(716) 822-8932
(716) 828-0804

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
03A2292
NYS DOH NUMBER
NY
05
04591122
NY
01
260112050
NY OASAS
NY
Enumeration date
08/12/2014
Last updated
05/23/2023
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