Provider Demographics
NPI:1437798824
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:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MACHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-828-2974
Mailing Address - Street 1:144 GENESEE ST FL 3
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14203-1560
Mailing Address - Country:US
Mailing Address - Phone:716-601-3600
Mailing Address - Fax:
Practice Address - Street 1:158 HOLDEN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14214-2226
Practice Address - Country:US
Practice Address - Phone:716-862-1330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SISTERS OF CHARITY HOSPITAL OF BUFFALO NEW YORK
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-02
Last Update Date:2020-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone