| Woodbridge Counseling Lcsw Pc | |
|
6161 Transit Road Suite 4 East Amherst NY 14051 | |
| (716) 572-2365 | |
| (716) 332-1168 |
| Full Name | Woodbridge Counseling Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 6161 Transit Road, East Amherst, New York |
| Authorized Official Name and Position | Lewis J Novotny (PRESIDENT DIRECTOR CLIN SOCIAL WKR) |
| Authorized Official Contact | 7165722365 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woodbridge Counseling Lcsw Pc 6161 Transit Road Suite 4 East Amherst NY 14051 Ph: (716) 572-2365 | Woodbridge Counseling Lcsw Pc 6161 Transit Road Suite 4 East Amherst NY 14051 Ph: (716) 572-2365 |
| NPI Number | 1003907973 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003907973 | NPI | - | NPPES |
| 11579263 | Other | CAQ HID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | R0427401 (New York) | Primary |
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