Healthcare Provider Details

I. General information

NPI: 1134245814
Provider Name (Legal Business Name): ADVOCATES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 12/17/2019
Certification Date: 12/17/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 ELWOOD DAVIS RD STE 101
LIVERPOOL NY
13088-6142
US

IV. Provider business mailing address

290 ELWOOD DAVIS RD STE 101
LIVERPOOL NY
13088-6142
US

V. Phone/Fax

Practice location:
  • Phone: 315-469-9931
  • Fax: 315-469-9939
Mailing address:
  • Phone: 315-469-9931
  • Fax: 315-469-9939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROL GENTRY
Title or Position: DIRECTOR OF COMPLIANCE, QA & INCIDE
Credential:
Phone: 315-469-9931