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NORTHTOWNS PSYCHIATRY PC NPI 1407003890


NPI Information

NPI: 1407003890
Provider Name: NORTHTOWNS PSYCHIATRY PC
Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
Entity Type: Organization
Address:
479 ENGLEWOOD AVE
NORTHTOWNS PSYCHIATRY PC
TONAWANDA, NY
ZIP 14223
Phone: (716) 831-9030
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NORTHTOWNS PSYCHIATRY PC is a community based residential treatment facility mental illness in Tonawanda, NY. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. NORTHTOWNS PSYCHIATRY PC NPI is 1407003890. The provider is registered as an organization entity type.

The provider's business location address is:

479 ENGLEWOOD AVE
NORTHTOWNS PSYCHIATRY PC
TONAWANDA, NY
ZIP 14223-862
Phone: (716) 831-9030
Fax: (716) 831-9075

The provider's authorized official is Michael S Mogerman .
The authorized official title is Officer and has the following contact phone number (716) 831-9030.

The enumeration date for this NPI number is 8/27/2008 and was last updated on 8/27/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320800000XCommunity Based Residential Treatment Facility, Mental Illness196919NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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