Healthcare Provider Details

I. General information

NPI: 1013079326
Provider Name (Legal Business Name): THE RESOURCE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 CENTRAL AVE
DUNKIRK NY
14048-2136
US

IV. Provider business mailing address

880 E 2ND ST
JAMESTOWN NY
14701-3824
US

V. Phone/Fax

Practice location:
  • Phone: 716-366-1661
  • Fax:
Mailing address:
  • Phone: 716-661-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number0602201R
License Number StateNY

VIII. Authorized Official

Name: PAUL CESANA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 716-661-1412