GENESEE COUNCIL ON ALCOHOLISM & SUBSTANCE ABUSE INC (NPI# 1982754776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982754776 |
Entity Type | Organization |
Organization Name | GENESEE COUNCIL ON ALCOHOLISM & SUBSTANCE ABUSE INC |
Practice Address |
430 East Main St Batavia NY 14020 |
Practice Telephone | 5853431124 |
Practice Fax Number | 5853431197 |
Mailing Telephone | 5853431124 |
Mailing Fax Number | 5853431197 |
Enumeration Date | 2007-01-12 |
Last Update Date | 2014-07-01 |
Authorized Official Name | MR. DAVID G MARKHAM (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 5858151800 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00798729 | 05 |
Street Address |
430 EAST MAIN ST |
City | BATAVIA |
State | NY |
Zip Code | 14020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225643885 | Colette Kogut | Registered Nurse | 5130 East Main St Rd, Suite 2, Batavia, NY 14020 | 2020-09-10 |
1770195604 | Mary M Pallister | Licensed Practical Nurse | 25 Liberty Street, Batavia, NY 14020 | 2020-08-21 |
1942824628 | Andrew J Burns | Registered Nurse | Ummc, 127 North St, Batavia, NY 14020 | 2020-05-29 |
1982241279 | Lucas Phillips | Physical Therapist | 99 Medtech Dr. Suite 104, Batavia, NY 14020 | 2019-12-05 |
1235776519 | Charles Foley | Physical Therapist | 99 Medtech Drive Sutie 104, Batavia, NY 14020 | 2019-12-05 |
1609350339 | Aimee E Landino | Physical Therapist | 99 Medtech Park, Suite 104, Batavia, NY 14020 | 2018-09-19 |
1225558463 | Wound Doctors of Ny Pllc | Surgery | 229 Summit Street, Suite 10, Batavia, NY 14020 | 2017-06-20 |
1780125468 | Sherrity L Disanto | Licensed Practical Nurse | 42 Clinton Street, Batavia, NY 14020 | 2017-03-15 |
1972041853 | Christine Faust | Student in an Organized Health Care Education/Training Program | 5120 East Main St. Rd., Suite 2, Batavia, NY 14020 | 2017-02-10 |
1326581000 | Genesee Center Operating | Skilled Nursing Facility | 278 Batavia Street, Batavia, NY 14020 | 2016-11-29 |
Find all providers in zip 14020 |
Taxonomy Code | 261QR0405X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation, Substance Use Disorder |
Definition to come... |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.