Provider Demographics
NPI:1922542455
Name:BUFFALO PRENATAL PERINATAL NETWORK
Entity Type:Organization
Organization Name:BUFFALO PRENATAL PERINATAL NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LUANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-884-6711
Mailing Address - Street 1:625 DELAWARE AVE
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1009
Mailing Address - Country:US
Mailing Address - Phone:716-884-6711
Mailing Address - Fax:716-884-0513
Practice Address - Street 1:625 DELAWARE AVE
Practice Address - Street 2:SUITE 410
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1009
Practice Address - Country:US
Practice Address - Phone:716-884-6711
Practice Address - Fax:716-884-0513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-19
Last Update Date:2016-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management