| Brooks - Tlc Hospital System, Inc. | |
|
845 Route 5 And 20 Irving NY 14081-9706 | |
| (716) 951-7000 | |
| Not Available |
| Full Name | Brooks - Tlc Hospital System, Inc. |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 845 Route 5 And 20, Irving, New York |
| Authorized Official Name and Position | Mary Elizabeth Larowe (CEO) |
| Authorized Official Contact | 7163637207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brooks - Tlc Hospital System, Inc. 529 Central Ave Dunkirk NY 14048-2514 Ph: (716) 366-1111 | Brooks - Tlc Hospital System, Inc. 845 Route 5 And 20 Irving NY 14081-9706 Ph: (716) 951-7000 |
| NPI Number | 1598876732 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/28/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598876732 | NPI | - | NPPES |
| 00347544 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | (* (Not Available)) | Primary |
Tlc Health Network Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 845 Routes 5 & 20, Irving, NY 14081 Phone: 716-951-7283 Fax: 716-951-7046 | |
Neurology Associated Of Wny Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12655 Seneca Rd, Suite 5, Irving, NY 14081 Phone: 716-934-7990 Fax: 716-934-7837 |