Phoenix Frontier Inc.

LBN: Phoenix Frontier Inc.
Phoenix Frontier Inc. is an health care organization with primary practice located at 100 Leroy , Buffalo NY 14214. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Phoenix Frontier Inc. can be contacted via phone (716) 833-3231, or through Manganello, Jack via phone (716) 833-3231.

Contact Information

Primary practice address
100 Leroy Buffalo NY 14214
Phone: (716) 833-3231
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Manganello, Jack
Phone: (716) 833-3231

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X 6075659 New York

Profile Details

NPI number 1194991810
LBN Legal business name Phoenix Frontier Inc.
DBA Doing business as
Authorized official Manganello, Jack
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2008
Last updated May 2nd, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194991810 NPPES
New York MEDICAID 02170923
New York MEDICAID 01597722
New York MEDICAID 02559364
New York MEDICAID 01499949
New York MEDICAID 02702032
New York MEDICAID 02003092
New York MEDICAID 02155008
New York MEDICAID 01509466
New York MEDICAID 02617825

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