NORTHTOWNS PSYCHIATRY PC
Residential Treatment Facilities at Englewood Ave, Buffalo, NY

License number
New York 196919
Category
Residential Treatment Facilities
Type
Community Based Residential Treatment Facility, Mental Illness
Owner
Name: DR. MICHAEL S MOGERMAN M.D.
Title: OFFICER
Phone: (716) 831-9030
Address
Address
479 Englewood Ave, Buffalo, NY 14223
National Provider ID: 1407003890
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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NORTHTOWNS PSYCHIATRY, PC

Buffalo, NY

Registration:
Aug 4, 2008
Addresses:
PO Box 643, Buffalo, NY 14226 (Physical)
380 Brantwood Rd, Buffalo, NY 14226 (Physical)
State ID:
3704578
Business type:
DOMESTIC PROFESSIONAL CORPORATION
Michael S. Mogerman, M.d, 479 Englewood Ave, Buffalo, NY 14223 (Physical)

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