Provider Demographics
NPI:1962678680
Name:AURORA FAMILY HEALTH CARE
Entity Type:Organization
Organization Name:AURORA FAMILY HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:E
Authorized Official - Last Name:ZITTEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-652-5499
Mailing Address - Street 1:530 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EAST AURORA
Mailing Address - State:NY
Mailing Address - Zip Code:14052-1717
Mailing Address - Country:US
Mailing Address - Phone:716-652-5499
Mailing Address - Fax:716-652-3863
Practice Address - Street 1:530 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST AURORA
Practice Address - State:NY
Practice Address - Zip Code:14052-1717
Practice Address - Country:US
Practice Address - Phone:716-652-5499
Practice Address - Fax:716-652-3863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-02
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY184251207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty