Individual
ANTON ALISANKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
272 THORN AVE, ORCHARD PARK, NY 14127
(716) 662-2040
(716) 662-0019
Mailing address
272 THORN AVE, ORCHARD PARK, NY 14127
(716) 662-2040
(716) 662-0019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18288
NY
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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