Anthony F Bongiovanni | |
315 Alberta Dr Ste 211 Amherst NY 14226-1814 | |
(716) 837-6705 | |
(716) 837-6759 |
Full Name | Anthony F Bongiovanni |
---|---|
Speciality | Psychologist - Clinical |
Location | 315 Alberta Dr Ste 211, Amherst, New York |
Authorized Official Name and Position | Anthony F Bongiovanni (OWNER SINGLE MEMBER LLC) |
Authorized Official Contact | 7169693756 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Anthony F Bongiovanni 315 Alberta Dr Ste 211 Amherst NY 14226-1814 Ph: (716) 837-6705 | Anthony F Bongiovanni 315 Alberta Dr Ste 211 Amherst NY 14226-1814 Ph: (716) 837-6705 |
NPI Number | 1003457698 |
---|---|
Provider Enumeration Date | 10/04/2019 |
Last Update Date | 10/04/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003457698 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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