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NPI Code Detail

MEDICARE: JOAN PITILLO CASAC

MEDICARE: JOAN PITILLO CASAC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor3329NY

General Provider Information

NPI Number : 1306900527
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN PITILLO CASAC
Provider Business Mailing Address
First Line : 227 THORN AVE
Second Line : SPECTRUM HUMAN SERVICES
City : ORCHARD PARK
State : NY
Zip : 14127-2600
Country : US
Telephone Number : 716-662-2040
Fax Number : 716-662-0019
Provider Business Practice Location Address
First Line : 2040 SENECA ST
Second Line :
City : BUFFALO
State : NY
Zip : 14210-2324
Country : US
Telephone Number : 716-828-0560
Fax Number : 716-828-1522
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/21/2006
Last Update Date : 07/08/2007

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Directions to “ JOAN PITILLO CASAC” Practice Location

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