Provider Demographics
NPI:1982932448
Name:FAMILY & CHILDREN'S SERVICE OF NIAGARA, INC
Entity Type:Organization
Organization Name:FAMILY & CHILDREN'S SERVICE OF NIAGARA, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR FINANCIAL ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-285-6984
Mailing Address - Street 1:826 CHILTON AVE
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14301-1106
Mailing Address - Country:US
Mailing Address - Phone:716-285-6984
Mailing Address - Fax:716-285-0831
Practice Address - Street 1:826 CHILTON AVE
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1106
Practice Address - Country:US
Practice Address - Phone:716-285-6984
Practice Address - Fax:716-285-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-20
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY55518AMedicare UPIN