National Provider Identifier
Lord Admoz, CASAC - T
Lord Admoz, CASAC - T is listed in the NPPES registry with a primary specialty of Substance Abuse Rehabilitation Facility in Sanborn, NY and a listed phone number of (716) 731-2030.
Profile Overview
- NPI
- 1285774885
- Provider Type
- Individual
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- February 06, 2007
- Last Updated
- July 08, 2007
Practice Location
- 6301 Inducon Dr E
- Sanborn, NY 14132-9014
Phone: (716) 731-2030
Mailing Address
- 38 Oakgrove Ave
- Buffalo, NY 14208-1006
Specialties
- Substance Abuse Rehabilitation Facility (324500000X)
Full Record
- NPI
- 1285774885
- Entity Type
- Individual
- Last Name
- Admoz
- First Name
- Lord
- Credential
- CASAC - T
- Mailing Street Address
- 38 Oakgrove Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14208-1006
- Mailing Country
- US
- Mailing Phone
- (716) 885-3806
- Practice Street Address
- 6301 Inducon Dr E
- Practice City
- Sanborn
- Practice State
- NY
- Practice ZIP Code
- 14132-9014
- Practice Country
- US
- Practice Phone
- (716) 731-2030
- Practice Fax
- (716) 731-3010
- Enumeration Date
- February 06, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Substance Abuse Rehabilitation Facility (324500000X)
- Other Identifiers
- 20688 (NY, Casac - T)