Provider Demographics
NPI: | 1376784306 |
---|---|
Name: | AMHERST GENERAL ENDOSCOPY CENTER LLC |
Entity Type: | Organization |
Organization Name: | AMHERST GENERAL ENDOSCOPY CENTER LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | VP REVENUE CYCLE OPERATIONS |
Authorized Official - Prefix: | |
Authorized Official - First Name: | BARBARA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | LOSI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 716-859-8383 |
Mailing Address - Street 1: | 4955 N BAILEY AVE |
Mailing Address - Street 2: | SUITE 207 |
Mailing Address - City: | AMHERST |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14226-1206 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 4955 N BAILEY AVE |
Practice Address - Street 2: | SUITE 207 |
Practice Address - City: | AMHERST |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14226-1206 |
Practice Address - Country: | US |
Practice Address - Phone: | 716-831-8031 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2009-03-21 |
Last Update Date: | 2009-03-21 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
NY | 261QA1903X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 261QA1903X | Ambulatory Health Care Facilities | Clinic/Center | Ambulatory Surgical |