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NPI Code Detail

MEDICARE: MR. JOSEPH ANTHONY SAJ CASAC-T

MEDICARE:  MR. JOSEPH ANTHONY SAJ  CASAC-T
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1811093040
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSEPH ANTHONY SAJ CASAC-T
Provider Business Mailing Address
First Line : 3020 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-2814
Country : US
Telephone Number : 716-831-1800
Fax Number :
Provider Business Practice Location Address
First Line : 3020 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-2814
Country : US
Telephone Number : 716-831-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2006
Last Update Date : 07/08/2007

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Directions to “ MR. JOSEPH ANTHONY SAJ CASAC-T” Practice Location

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