Healthcare Provider Details

I. General information

NPI: 1316303878
Provider Name (Legal Business Name): WESTERN NEW YORK PSYCHOLOGICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2016
Last Update Date: 01/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

315 ALBERTA DR SUITE 211
AMHERST NY
14226-1814
US

IV. Provider business mailing address

315 ALBERTA DR SUITE 211
AMHERST NY
14226-1814
US

V. Phone/Fax

Practice location:
  • Phone: 716-837-6705
  • Fax: 716-837-6759
Mailing address:
  • Phone: 716-837-6705
  • Fax: 716-837-6759

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number004335
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number001025
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number000461
License Number StateNY

VIII. Authorized Official

Name: DR. FRANK PAUL ALABISO
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 716-837-6705