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NPI Code Detail

MEDICARE: WATERFRONT HEALTH CARE CENTER

MEDICARE: WATERFRONT HEALTH CARE CENTER
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
1311ZA0620XAdult Care Home Facility

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487697058
Entity Type Code : Organization
Provider Name (Legal Business Name) : WATERFRONT HEALTH CARE CENTER
Provider Business Mailing Address
First Line : 200 7TH ST
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2161
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 7TH ST
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2161
Country : US
Telephone Number : 716-847-2500
Fax Number :
Authorized Official
Title or Position : LONG TERM CARE MANAGER
Name : KIMBERLY A BAGAROZZI
Credential :
Telephone Number : 716-859-8397
Provider Enumeration Date : 06/13/2006
Last Update Date : 07/21/2022

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Directions to “WATERFRONT HEALTH CARE CENTER ” Practice Location

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