| Counseling Services Of Upstate New York Inc. | |
|
950 Delaware Ave Buffalo NY 14209-1850 | |
| (716) 285-8070 | |
| Not Available |
| Full Name | Counseling Services Of Upstate New York Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 950 Delaware Ave, Buffalo, New York |
| Authorized Official Name and Position | James Tretter (ADMINISTRATOR) |
| Authorized Official Contact | 7162858070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Services Of Upstate New York Inc. 3900 Packard Rd Niagara Falls NY 14303-2236 Ph: (716) 285-8070 | Counseling Services Of Upstate New York Inc. 950 Delaware Ave Buffalo NY 14209-1850 Ph: (716) 285-8070 |
| NPI Number | 1750890596 |
|---|---|
| Provider Enumeration Date | 09/25/2017 |
| Last Update Date | 09/25/2017 |
| Medicare PECOS PAC ID | 5698002137 |
|---|---|
| Medicare Enrollment ID | O20190807000831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750890596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (New York) | Primary |
| Provider Name | Brian S Joseph |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215993290 PECOS PAC ID: 5698958122 Enrollment ID: I20110322000256 |
| Provider Name | Paula M Leszak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982018388 PECOS PAC ID: 4981823895 Enrollment ID: I20140908001805 |
| Provider Name | Adam L Giancarlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336375054 PECOS PAC ID: 5597062497 Enrollment ID: I20160321000692 |
| Provider Name | Tammy D Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306098249 PECOS PAC ID: 6204240633 Enrollment ID: I20210127000135 |
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