Teresa Siejak

Individual provider Active NPI Case Manager/Care Coordinator · Bowmansville, NY

NPI 1336543750 · NPPES record last updated Nov 7, 2014

Key facts

NPI
1336543750
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
5360 Genesee St
Suite 200
Bowmansville, NY 14026-1044
Phone
(716) 895-6700
Fax
(716) 896-0318
NPI assigned
Oct 14, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Mid Erie Mental Health Services Inc Past
since Apr 1, 1996
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

5360 Genesee St
Suite 200
Bowmansville, NY 14026-1044

Mailing address

1526 Walden Ave
Suite 400
Cheektowaga, NY 14225-4965
Phone (716) 895-6700

Other providers in Bowmansville, NY

All providers in Bowmansville, NY · Case Manager/Care Coordinator in New York

Sources for this page

Verify at the official NPI Registry.