Healthcare Provider Details

I. General information

NPI: 1063499564
Provider Name (Legal Business Name): PUTNAM ANGER ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1914 COLVIN BLVD SUITE 102
TONAWONDA NY
14150-6973
US

IV. Provider business mailing address

1914 COLVIN BLVD SUITE 102
TONAWONDA NY
14150-6973
US

V. Phone/Fax

Practice location:
  • Phone: 716-837-8333
  • Fax: 716-837-3035
Mailing address:
  • Phone: 716-837-8333
  • Fax: 716-837-3035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR0131861
License Number StateNY

VIII. Authorized Official

Name: DR. DANIEL W ANGER
Title or Position: PRESIDENT
Credential: PHD BCD
Phone: 714-837-8333