MEDICARE: MS. SALI HONESS-ONDREY LCSW

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	104100000X	Social Worker	038528-1	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00052300001	OTHER	NY	UNIVERA HEALTHCARE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	6211160	OTHER	NY	INDEPENDENT HEALTH
4	11515160	OTHER	NY	CAQH
5	000526151001	OTHER	NY	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1982682407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SALI HONESS-ONDREY LCSW

Provider Business Mailing Address
First Line	:	2130 S MAPLE AVE
Second Line	:	P O BOX 444
City	:	ASHVILLE
State	:	NY
Zip	:	14710-9604
Country	:	US
Telephone Number	:	716-763-0830
Fax Number	:	716-763-0830

Provider Business Practice Location Address
First Line	:	2130 S MAPLE AVE
Second Line	:
City	:	ASHVILLE
State	:	NY
Zip	:	14710-9604
Country	:	US
Telephone Number	:	716-763-0830
Fax Number	:	716-763-0830

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

Provider Enumeration Date	:	01/04/2006
Last Update Date	:	07/08/2007

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