| Anthony F Bongiovanni | |
|
315 Alberta Dr Ste 211 Amherst NY 14226-1814 | |
| (716) 837-6705 | |
| (716) 837-6759 |
| Full Name | Anthony F Bongiovanni |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 315 Alberta Dr Ste 211, Amherst, New York |
| Authorized Official Name and Position | Anthony F Bongiovanni (OWNER SINGLE MEMBER LLC) |
| Authorized Official Contact | 7169693756 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony F Bongiovanni 315 Alberta Dr Ste 211 Amherst NY 14226-1814 Ph: (716) 837-6705 | Anthony F Bongiovanni 315 Alberta Dr Ste 211 Amherst NY 14226-1814 Ph: (716) 837-6705 |
| NPI Number | 1003457698 |
|---|---|
| Provider Enumeration Date | 10/04/2019 |
| Last Update Date | 10/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003457698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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