Provider Demographics
NPI:1417261819
Name:BUFFALO BD OF EDUCATION
Entity Type:Organization
Organization Name:BUFFALO BD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:CASILLAS OSORIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS ED
Authorized Official - Phone:716-982-5409
Mailing Address - Street 1:24 CUNARD RD
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14216-1917
Mailing Address - Country:US
Mailing Address - Phone:716-982-5409
Mailing Address - Fax:
Practice Address - Street 1:24 CUNARD RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-1917
Practice Address - Country:US
Practice Address - Phone:716-982-5409
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-28
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty