WILLIAM BLY

BUFFALO, NY
NPI1023113396
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  0004093)
Enumeration Date2006-09-13
Last Update Date2007-07-08
Business Address
-- WILLIAM BLY CD CASAC
899 MAIN ST
BUFFALO, NY 14203
Phone number: 716-885-2833
Mailing Address
-- WILLIAM BLY CD CASAC
800 CARTER STREET
ROCHESTER, NY 14621
Phone number: 585-339-4793