Organization
DIVERSIFIED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA PAOLINI (EARLY INTERVENTION SERVICE COORDINA)
(716) 997-8036
Entity
Organization
Contact information
Practice address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
(716) 871-9883
Mailing address
2900 DELAWARE AVE, KENMORE, NY 14217-2309
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
NY
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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