| The Community Action Organization Of Western New York, Inc. | |
|
1237 Main St Buffalo NY 14209-2111 | |
| (716) 884-9101 | |
| (716) 884-7703 |
| Full Name | The Community Action Organization Of Western New York, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 1237 Main St, Buffalo, New York |
| Authorized Official Name and Position | Leon Nathan Hare (PRESIDENT/CEO) |
| Authorized Official Contact | 7168815150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Community Action Organization Of Western New York, Inc. 45 Jewett Ave Ste 150 Buffalo NY 14214-2442 Ph: (716) 881-5150 | The Community Action Organization Of Western New York, Inc. 1237 Main St Buffalo NY 14209-2111 Ph: (716) 884-9101 |
| NPI Number | 1114938594 |
|---|---|
| Provider Enumeration Date | 08/10/2006 |
| Last Update Date | 07/23/2020 |
| Certification Date | 07/23/2020 |
| Medicare PECOS PAC ID | 8921423260 |
|---|---|
| Medicare Enrollment ID | O20200804002799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114938594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1401208R (New York) | Primary |
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