| Joshua Dry, | |
|
97 Main St, Salamanca, NY 14779-1529 | |
| (716) 945-5211 | |
| (716) 945-5267 |
| Full Name | Joshua Dry |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 97 Main St, Salamanca, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255768792 | NPI | - | NPPES |
| 00635098 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | County Of Cattaraugus |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659414696 PECOS PAC ID: 3375455124 Enrollment ID: O20050427001054 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Dry, 1 Leo Moss Dr, Olean, NY 14760-1100 Ph: (716) 701-3267 | Joshua Dry, 97 Main St, Salamanca, NY 14779-1529 Ph: (716) 945-5211 |
Holly Goddard, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 | |
Kathryne M Coric, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 | |
Anthony Rovito Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Behavioral Health Unit, Salamanca, NY 14779 Phone: 716-945-9001 Fax: 716-945-0790 | |
Victoria Florence Petherick, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-5894 Fax: 716-242-6345 | |
Amanda Bishop, MSED. CASACT Counselor Medicare: Not Enrolled in Medicare Practice Location: 987 R C Hoag Dr, Salamanca, NY 14779 Phone: 716-945-9001 Fax: 716-945-0790 | |
Kimberly L Leight, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 97 Main St, Salamanca, NY 14779 Phone: 716-945-5211 Fax: 716-945-5267 |