MEDICARE: ALLISON L AYERS LCSWR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	R077398-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043413065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON L AYERS LCSWR

Provider Business Mailing Address
First Line	:	60 HARRIET ST
Second Line	:
City	:	ALLEGANY
State	:	NY
Zip	:	14706-1036
Country	:	US
Telephone Number	:	716-307-4371
Fax Number	:

Provider Business Practice Location Address
First Line	:	117 MAIN ST
Second Line	:
City	:	SALAMANCA
State	:	NY
Zip	:	14779-1529
Country	:	US
Telephone Number	:	716-307-2382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/07/2007
Last Update Date	:	01/14/2014

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