| The Dale Association, Inc. | |
|
89 River Rd North Tonawanda NY 14120-5713 | |
| (716) 693-9961 | |
| Not Available |
| Full Name | The Dale Association, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 89 River Rd, North Tonawanda, New York |
| Authorized Official Name and Position | Maureen Wendt (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7164382414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Dale Association, Inc. 33 Ontario St Lockport NY 14094-2815 Ph: (716) 433-4440 | The Dale Association, Inc. 89 River Rd North Tonawanda NY 14120-5713 Ph: (716) 693-9961 |
| NPI Number | 1962407783 |
|---|---|
| Provider Enumeration Date | 06/17/2005 |
| Last Update Date | 08/05/2022 |
| Certification Date | 08/05/2022 |
| Medicare PECOS PAC ID | 3971538232 |
|---|---|
| Medicare Enrollment ID | O20051005000800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962407783 | NPI | - | NPPES |
| Provider Name | John U Napoli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225004997 PECOS PAC ID: 0749279719 Enrollment ID: I20040506001302 |
| Provider Name | Mary C Bracken |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376505099 PECOS PAC ID: 8820068265 Enrollment ID: I20040730001125 |
| Provider Name | Ronald A Cooke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033171657 PECOS PAC ID: 1355312703 Enrollment ID: I20040802000432 |
| Provider Name | Lucy S Kolloori |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114004272 PECOS PAC ID: 2466467782 Enrollment ID: I20060208000237 |
| Provider Name | Sanjay Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740238906 PECOS PAC ID: 2567403827 Enrollment ID: I20070621000070 |
| Provider Name | Mary A Hartshorn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972535789 PECOS PAC ID: 2163558545 Enrollment ID: I20100325000378 |
| Provider Name | Devinalini Misir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073713251 PECOS PAC ID: 0042462228 Enrollment ID: I20121215000036 |
| Provider Name | Audrey Urbanczyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861834939 PECOS PAC ID: 9032351812 Enrollment ID: I20130807000172 |
| Provider Name | Viktor A Yatsynovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730323239 PECOS PAC ID: 4486970266 Enrollment ID: I20150313002149 |
| Provider Name | Apollo Palomares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750691457 PECOS PAC ID: 5294038337 Enrollment ID: I20160122000982 |
| Provider Name | Obot A Obot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861711467 PECOS PAC ID: 5698074953 Enrollment ID: I20160509001469 |
| Provider Name | Leah M Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003447723 PECOS PAC ID: 0749619914 Enrollment ID: I20200409001239 |
| 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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