Ann Marie Bosch, CASAC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Buffalo, NY
NPI 1003989393 · NPPES record last updated May 17, 2023
Key facts
- NPI
- 1003989393
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 19817 (NY)
- Practice address
- 1280 Main Street
Buffalo, NY 14209 - Phone
- (716) 884-5797
- Fax
- (716) 882-0293
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19817 | NY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Village | Past | Accepting new patients | |
| Horizon Health Services | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/78f4cdd4-55a7-4d47-b25a-4d044d550506/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19817 | NY | Yes |
Addresses
Primary practice location
1280 Main Street
Buffalo, NY 14209
Mailing address
227 Thorn Avenue
Orchard Park, NY 14127
Phone (716) 662-2040
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19817 | Other | NY | CASAC-T |
Other names
- Anne-Marie Caruso
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All providers in Buffalo, NY · Addiction (Substance Use Disorder) Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.