| Jenny L Cascio Registered Nurse Psychiatric Nurse Practitioner P.c. | |
|
21 Linwood Ave Williamsville NY 14221-6501 | |
| (716) 626-9016 | |
| (716) 626-4271 |
| Full Name | Jenny L Cascio Registered Nurse Psychiatric Nurse Practitioner P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 21 Linwood Ave, Williamsville, New York |
| Authorized Official Name and Position | Jenny L Cascio (PRESIDENT) |
| Authorized Official Contact | 7163163621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny L Cascio Registered Nurse Psychiatric Nurse Practitioner P.c. 40 Daisy Ln Amherst NY 14228-1263 Ph: (716) 316-3621 | Jenny L Cascio Registered Nurse Psychiatric Nurse Practitioner P.c. 21 Linwood Ave Williamsville NY 14221-6501 Ph: (716) 626-9016 |
| NPI Number | 1730325424 |
|---|---|
| Provider Enumeration Date | 12/30/2008 |
| Last Update Date | 09/11/2009 |
| Medicare PECOS PAC ID | 7214053149 |
|---|---|
| Medicare Enrollment ID | O20100928000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730325424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | F401150-1 (New York) | Primary |
| Provider Name | Jenny L Cascio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578727798 PECOS PAC ID: 9931256617 Enrollment ID: I20090415000443 |
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