Healthcare Provider Details

I. General information

NPI: 1013256395
Provider Name (Legal Business Name): ECHO DAY COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2013
Last Update Date: 02/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 PRYOR AVE
TONAWANDA NY
14150-7431
US

IV. Provider business mailing address

190 MINERVA ST
TONAWANDA NY
14150-3336
US

V. Phone/Fax

Practice location:
  • Phone: 716-833-2851
  • Fax:
Mailing address:
  • Phone: 716-833-2851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN T CORASANTI
Title or Position: PROGRAM DIRECTOR
Credential: M.H.A.
Phone: 716-946-1122