Provider Demographics
NPI:1053319756
Name:SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
Entity Type:Organization
Organization Name:SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
Other - Org Name:SISTERS LONG TERM HOME HEALTH CARE PROGRAM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:MARKIEWICZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:716-685-4870
Mailing Address - Street 1:14 APPLETREE BUSINESS PARK
Mailing Address - Street 2:SUITE 14-19
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14227-1466
Mailing Address - Country:US
Mailing Address - Phone:716-685-4870
Mailing Address - Fax:716-961-1253
Practice Address - Street 1:14 APPLETREE BUSINESS PARK
Practice Address - Street 2:SUITE 14-19
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14227-1466
Practice Address - Country:US
Practice Address - Phone:716-685-4870
Practice Address - Fax:716-961-1253
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-07-07
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00354563Medicaid
NY00354563Medicaid