MEDICARE: ONWARD NP IN PSYCHIATRY PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1548067549
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ONWARD NP IN PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	646 N FRENCH RD STE 7
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14228-2100
Country	:	US
Telephone Number	:	716-345-4125
Fax Number	:	716-229-3903

Provider Business Practice Location Address
First Line	:	646 N FRENCH RD STE 7
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14228-2100
Country	:	US
Telephone Number	:	716-345-4125
Fax Number	:	716-229-3903

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CARL DEFRANCO II
Credential	:	PMHNP
Telephone Number	:	716-345-4125

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	08/13/2025

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