CHILDPRO OF WESTERN NEW YORK
NPI 1598974594
Specialist in Lackawanna, NY

Q: What is Childpro Of Western New York's NPI number?

The NPI number for Childpro Of Western New York is 1598974594. It was assigned to this organization in the NPPES registry on May 22, 2007.

Q: What is Childpro Of Western New York's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since May 22, 2007

1025 RIDGE RD, LACKAWANNA, NY 14218(716) 822-4781(716) 825-5765 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Childpro Of Western New York NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHILDPRO OF WESTERN NEW YORK (NPI 1598974594) is a healthcare organization registered as a specialist in Lackawanna, New York and active in the NPI registry since May 2007. The organization lists Mary Mai Iwanenko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1598974594

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameCHILDPRO OF WESTERN NEW YORK

Location Address1025 RIDGE RDLackawanna, NY 14218-1755

Mailing Address1025 Ridge RdLackawanna, NY 14218-1755 · (716) 822-4781 · Fax (716) 825-5765

Phone(716) 822-4781

Fax(716) 825-5765

Organization SubpartNo

Authorized OfficialMary Mai IwanenkoCeo · (716) 822-4781

Enumeration DateMay 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1598974594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Licenses✔ Licensed in NY · 00589-1✔ Licensed in NY · 013462-1✔ Licensed in NY · 006796-1✔ Licensed in NY · 009342-1✔ Licensed in NY · 012804-1

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1025 RIDGE RD, Lackawanna, NY 14218

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Other Identifiers 1

Medicaid0224468NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LYNN MARIE LAWRENCE CCC-SLP

Speech-Language Pathologist