Gay and Lesbian Youth Services of Wny

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

GAY AND LESBIAN YOUTH SERVICES OF WNY

Practice address

278 Delaware Ave
Buffalo, NY 14202-1801

Phone

(716) 855-0221

NPI assigned

Mar 1, 2021

Last updated

Mar 1, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Roush, PHD

Title

Executive Director/Ceo

Phone

(716) 855-0221

Specialties & licenses 3

Addresses

Other names 1

• GLYS Western New York, Inc. Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1497349567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021801",
            "telephone_number": "716-855-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 DELAWARE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142021801",
            "telephone_number": "716-855-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "67 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142012357",
            "country_code": "US",
            "telephone_number": "716-855-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GAY AND LESBIAN YOUTH SERVICES OF WNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "ROUSH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "716-855-0221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GLYS Western New York, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hannah Elizabeth Gawlak, PA-C
• Kayla Marie Gawlak, DC
• Aubrey Gawron, PHARMD, BCCCP
• Sarah Gawronski, CRPA
• Christina Gawrys
• Ashleigh Gayle, LPN
• Kenneth L Gayles, M.D.
• Mary Gaynor, FNP
• Leena Gazdovich, RN, BSN, IBCLC
• Fatai Adesina Gbadamosi, MD

• Voluntary or Charitable Agency in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Voluntary or Charitable Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.