Provider Demographics
NPI:1447794458
Name:BUFFALO ERGONOMICS OT SERVICES, PLLC
Entity Type:Organization
Organization Name:BUFFALO ERGONOMICS OT SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:ORRANGE
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:716-873-7263
Mailing Address - Street 1:235 HIGHLAND PKWY
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14223-1407
Mailing Address - Country:US
Mailing Address - Phone:716-873-7263
Mailing Address - Fax:716-873-7290
Practice Address - Street 1:235 HIGHLAND PKWY
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14223-1407
Practice Address - Country:US
Practice Address - Phone:716-873-7263
Practice Address - Fax:716-873-7290
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-09
Last Update Date:2016-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005515-1261QX0100X
NY008258-1261QX0100X
NY011329-1261QX0100X
NY018298-1261QX0100X
NY008611-1261QX0100X
261QX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine