NPI 1487057972

Mary Agnes Manor

Organisation Assisted Living Facility (Mental Illness) Buffalo, NY

Practice location

Address: 307 Porter Ave, Buffalo, NY 14201-1031
Phone: (716) 881-0565

Authorised official

Name: Danny Zyskind
Title: Assistant Administrator
Phone: (716) 791-4211

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X Licence 1753L001 (NY)

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Registry record

NPI: 1487057972
Entity type: Organization
NPI issued: 29 Sep 2014
Record last updated: 29 Sep 2014

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.