Provider Demographics
NPI:1649576885
Name:KALEIDA HEALTH - WOMEN'S AND CHILDREN'S HOSPITAL OF BUFFALO
Entity Type:Organization
Organization Name:KALEIDA HEALTH - WOMEN'S AND CHILDREN'S HOSPITAL OF BUFFALO
Other - Org Name:WOMEN AND CHILDREN'S HOSPITAL OF BUFFALO
Other - Org Type:Other Name
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOJCZUK
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:716-878-7896
Mailing Address - Street 1:239 BRYANT ST
Mailing Address - Street 2:NUTRITION DEPARTMENT 3RD FLOOR
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14222-2006
Mailing Address - Country:US
Mailing Address - Phone:716-878-7793
Mailing Address - Fax:716-888-3842
Practice Address - Street 1:239 BRYANT ST
Practice Address - Street 2:NUTRITION DEPARTMENT 3RD FLOOR
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-2006
Practice Address - Country:US
Practice Address - Phone:716-878-7793
Practice Address - Fax:716-888-3842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY916159282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren