Provider Demographics
NPI:1376920900
Name:COMPEER OF GREATER BUFFALO
Entity Type:Organization
Organization Name:COMPEER OF GREATER BUFFALO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COLPOYS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-883-3331
Mailing Address - Street 1:135 DELAWARE AVENUE
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-2410
Mailing Address - Country:US
Mailing Address - Phone:716-883-3331
Mailing Address - Fax:716-883-3395
Practice Address - Street 1:135 DELAWARE AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-2416
Practice Address - Country:US
Practice Address - Phone:716-883-3331
Practice Address - Fax:716-883-3395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health