Provider Demographics
NPI:1518353176
Name:BUFFALO WHEELCHAIR, INC.
Entity Type:Organization
Organization Name:BUFFALO WHEELCHAIR, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CRANE
Authorized Official - Last Name:TRAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-675-6500
Mailing Address - Street 1:1900 RIDGE RD
Mailing Address - Street 2:SUITE #13
Mailing Address - City:WEST SENECA
Mailing Address - State:NY
Mailing Address - Zip Code:14224-3332
Mailing Address - Country:US
Mailing Address - Phone:716-675-6500
Mailing Address - Fax:716-675-6646
Practice Address - Street 1:5375 TRANSIT RD
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-2823
Practice Address - Country:US
Practice Address - Phone:716-210-1023
Practice Address - Fax:716-210-1031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-10
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies