Dreyer, Immacolata

Dreyer, Immacolata is an individual health care provider with primary practice located at 531 Center Rd , West Seneca NY 14224-2129. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Dreyer, Immacolata can be contacted via phone (716) 430-0703.

Contact Information

Primary practice address
531 Center Rd West Seneca NY 14224-2129
Phone: (716) 430-0703
Fax: (716) 720-9352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R0438651 New York

Profile Details

NPI number 1003989096
LBN Legal business name Dreyer, Immacolata
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003989096 NPPES
New York MEDICAID 00438651
New York Other 000525099002

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