Healthcare Provider Details

I. General information

NPI: 1366332488
Provider Name (Legal Business Name): WNY MOBILE OVERDOSE PREVENTION SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2025
Last Update Date: 07/09/2025
Certification Date: 07/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 SYCAMORE ST
BUFFALO NY
14212-1237
US

IV. Provider business mailing address

800 SYCAMORE ST
BUFFALO NY
14212-1237
US

V. Phone/Fax

Practice location:
  • Phone: 716-250-1077
  • Fax:
Mailing address:
  • Phone: 716-250-1077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RASHONE SCOTT-WILLIAMS
Title or Position: CEO
Credential:
Phone: 716-250-1077