NPI 1154106482
Paragon Uc Support Services, Llo
Practice location
- Address
- 77 E Bridge St STE B, Oswego, NY 13126
- Phone
- (918) 406-2024
- Mailing address
- 6746 Ward Rd, Niagra Falls, NY 14304
Authorised official
- Name
- Nicole a Mirjafari
- Title
- Physician Owner
- Phone
- (918) 406-2024
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1154106482
- Entity type
- Organization
- NPI issued
- 25 Aug 2023
- Record last updated
- 25 Aug 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.