Healthcare Provider Details

I. General information

NPI: 1720004633
Provider Name (Legal Business Name): ALLEGANY REHABILITATION ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 01/10/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4220 STATE RTE 417 W
WELLSVILLE NY
14895-9332
US

IV. Provider business mailing address

4220 STATE RTE 417 W
WELLSVILLE NY
14895-9332
US

V. Phone/Fax

Practice location:
  • Phone: 585-593-6300
  • Fax: 585-593-7071
Mailing address:
  • Phone: 585-593-6300
  • Fax: 585-593-7071

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
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: LCSW
Phone: 585-593-1655