MEDICARE: BUFFALO WHEELCHAIR

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	332BX2000X	Oxygen Equipment & Supplies (DME)

General Provider Information

NPI Number	:	1427090844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUFFALO WHEELCHAIR

Provider Business Mailing Address
First Line	:	1900 RIDGE RD
Second Line	:	SUITE #13
City	:	WEST SENECA
State	:	NY
Zip	:	14224-3332
Country	:	US
Telephone Number	:	716-675-6500
Fax Number	:	716-675-6646

Provider Business Practice Location Address
First Line	:	318 EAST FAIRMONT AVE.
Second Line	:	SUITE #230
City	:	LAKEWOOD
State	:	NY
Zip	:	14750-2007
Country	:	US
Telephone Number	:	716-488-4200
Fax Number	:	716-488-4247

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MR. JAMES CRANE TRAVIS
Credential	:
Telephone Number	:	716-675-6500

Provider Enumeration Date	:	06/11/2006
Last Update Date	:	04/24/2008

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Directions to “BUFFALO WHEELCHAIR ” Practice Location

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