MEDICARE: ALLEGANY REHABILITATION ASSOCIATES, INC

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	101YM0800X	Mental Health Counselor
2	251S00000X	Community/Behavioral Health Agency

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
2	000523176001	OTHER	NY	BCBS WNY

General Provider Information

NPI Number	:	1215955083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLEGANY REHABILITATION ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	4222 BOLIVAR RD
Second Line	:
City	:	WELLSVILLE
State	:	NY
Zip	:	14895-9332
Country	:	US
Telephone Number	:	585-593-1655
Fax Number	:	585-593-1868

Provider Business Practice Location Address
First Line	:	39 DUNCAN ST
Second Line	:
City	:	WARSAW
State	:	NY
Zip	:	14569-1017
Country	:	US
Telephone Number	:	585-786-0190
Fax Number	:	585-786-0196

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KATHRYN ANN LEWIS
Credential	:
Telephone Number	:	585-593-1655

Provider Enumeration Date	:	07/18/2006
Last Update Date	:	01/09/2024

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14569-1017

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