Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary Agnes Manor

Organization Assisted Living Facility (Mental Illness) · NPI 1487057972

Mary Agnes Manor is an Assisted Living Facility (Mental Illness) in Buffalo, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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Practice location Address checks out

307 Porter Ave
Buffalo, NY 14201-1031
Phone: (716) 881-0565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X · Licence 1753L001 (NY)

Record details

NPI number1487057972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Danny Zyskind — Assistant Administrator · (716) 791-4211
NPI enumeratedSeptember 29, 2014
Last updated in NPPESSeptember 29, 2014
Mailing address307 Porter Ave, Buffalo, NY 14201-1031

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