MEDICARE: URBAN FAMILY PRACTICE PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	363L00000X	Nurse Practitioner
4	363LF0000X	Family Nurse Practitioner	F332631	NY
5	207PT0002X	Medical Toxicology (Emergency Medicine) Physician	1850521NYS	NY
6	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1164594099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URBAN FAMILY PRACTICE PC

Provider Business Mailing Address
First Line	:	564 NIAGARA ST BLDG 2
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14201-1108
Country	:	US
Telephone Number	:	716-882-0366
Fax Number	:	716-306-4177

Provider Business Practice Location Address
First Line	:	564 NIAGARA STREET
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14201
Country	:	US
Telephone Number	:	716-882-0366
Fax Number	:	716-884-8096

Authorized Official
Title or Position	:	CEO
Name	:	DR. RODNEY ARMSTEAD
Credential	:	MD
Telephone Number	:	310-418-7250

Provider Enumeration Date	:	11/15/2006
Last Update Date	:	06/25/2026

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