Suburban Adult Services-Inc.
Organization Active NPI Developmentally Disabled Services Day Training Agency · Elma, NY
NPI 1528081734 · NPPES record last updated Apr 30, 2015
Key facts
- NPI
- 1528081734
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Developmentally Disabled Services Day Training Agency 251C00000X
- Legal business name
- SUBURBAN ADULT SERVICES-INC.
- Practice address
- 960 West Maple Court
Elma, NY 14059-9530 - Phone
- (716) 805-1555
- Fax
- (716) 805-1441
- NPI assigned
- Jul 26, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony J Annuziato
- Title
- Executive Director
- Phone
- (716) 805-1555
Practitioners 29
-
Alison Goergen, PSY.D.
-
Mary Therese Griffin, LCSW
-
Nicole I McClamb, NP
-
Tracy Lyn Vedder, LCSW
-
Brandy A Weber, LCSW
-
Kay Lobo Prinzi, RN
-
Kyle Andrew Wiktor, N.P.
-
Cheryl L. Aaron, PT, DPT, CWS
-
Judy Lynn Bremer, PT
-
Georgiann Lynn Dieteman, OTRL
-
Eric J Frank, PSY. D.
-
Michelle E. Hughes, OTR
-
Paul E Lew, LMSW
-
Devon Leigh Milbrand, PTA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061107000054 | NY | Part B Supplier - Clinic/Group Practice | 1658378583 |
Receives reassigned benefits from 16 practitioners Practice locations: East Aurora, NY; Elma, NY; Sardinia, NY |
National Provider Directory
Locations
7030 Erie Rd
Derby, NY 14047
Phone (716) 947-5857
601 Oakwood Ave
East Aurora, NY 14052
Phone (716) 655-3225
960 W Maple Ct
Elma, NY 14059
Phone (716) 805-1440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Yes |
Addresses
Primary practice location
960 West Maple Court
Elma, NY 14059-9530
Mailing address
960 West Maple Court
Elma, NY 14059-9530
Phone (716) 805-1555
Other providers in Elma, NY
- Michelle Marie Snyder
- Ritu Sood
- Donna Stachowski
- Paul Otto Stage II
- Michael Peter Strosky Jr.
- Amy Suda
- Heather Carol Syracuse
- Ryann Illig Taylor
- Thomas F. Hughes MD PC
- Nicole Tobias
All providers in Elma, NY · Developmentally Disabled Services Day Training Agency 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 Apr 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.