Healthcare Provider Details

I. General information

NPI: 1215955083
Provider Name (Legal Business Name): ALLEGANY REHABILITATION ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 01/09/2024
Certification Date: 09/29/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 DUNCAN ST
WARSAW NY
14569-1017
US

IV. Provider business mailing address

4222 BOLIVAR RD
WELLSVILLE NY
14895-9332
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-0190
  • Fax: 585-786-0196
Mailing address:
  • Phone: 585-593-1655
  • Fax: 585-593-1868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN ANN LEWIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 585-593-1655