Provider Demographics
NPI:1114110848
Name:BUFFALO FEDERATION OF NEIGHBORHOOD CENTERS INC.
Entity Type:Organization
Organization Name:BUFFALO FEDERATION OF NEIGHBORHOOD CENTERS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PETERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-856-0363
Mailing Address - Street 1:97 LEMON ST
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14204-1224
Mailing Address - Country:US
Mailing Address - Phone:716-856-0363
Mailing Address - Fax:716-856-1432
Practice Address - Street 1:2495 MAIN ST
Practice Address - Street 2:SUITE 534
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2152
Practice Address - Country:US
Practice Address - Phone:716-853-0600
Practice Address - Fax:716-885-1470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable
No251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01303451Medicaid
NY01230217Medicaid