Provider Demographics
NPI:1104972389
Name:WYOMING COUNTY COMMUNITYHEALTH SYSTEM
Entity type:Organization
Organization Name:WYOMING COUNTY COMMUNITYHEALTH SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED OCCUPATIOAL THERAPY ASSIS
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:CLAIRE
Authorized Official - Last Name:APRILE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-786-2233
Mailing Address - Street 1:299 BARNSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-1182
Mailing Address - Country:US
Mailing Address - Phone:716-624-0602
Mailing Address - Fax:
Practice Address - Street 1:400 N MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1025
Practice Address - Country:US
Practice Address - Phone:585-786-2233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004070-1314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility