Healthcare Provider Details

I. General information

NPI: 1356655997
Provider Name (Legal Business Name): PEOPLE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2010
Last Update Date: 08/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3131 SHERIDAN DR
AMHERST NY
14226
US

IV. Provider business mailing address

1219 NORTH FOREST ROAD
WILLIAMSVILLE NY
14221
US

V. Phone/Fax

Practice location:
  • Phone: 716-880-3711
  • Fax: 716-880-3890
Mailing address:
  • Phone: 716-817-7460
  • Fax: 716-633-1709

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number018583-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number032726-1
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL

VIII. Authorized Official

Name: GWEN LOOMIS
Title or Position: CONTROLLER
Credential:
Phone: 716-817-7452