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NPI Code Detail

MEDICARE: EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY INC

MEDICARE: EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY INC
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
1261QA0600XAdult Day Care Clinic/CenterNY

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 : 1730171224
Entity Type Code : Organization
Provider Name (Legal Business Name) : EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY INC
Provider Business Mailing Address
First Line : 24 RHODE ISLAND ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2142
Country : US
Telephone Number : 716-884-8194
Fax Number : 716-614-0815
Provider Business Practice Location Address
First Line : 24 RHODE ISLAND ST
Second Line :
City : BUFFALO
State : NY
Zip : 14213-2142
Country : US
Telephone Number : 716-884-8194
Fax Number : 716-614-0815
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT/CFO
Name : MR. JAMES J JULIANO
Credential :
Telephone Number : 716-883-7917
Provider Enumeration Date : 08/19/2005
Last Update Date : 07/21/2022

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Practice Location Address:
24 RHODE ISLAND ST
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1932493194 — MARLENE BROMFIELD
Practice Location Address:
119 W TUPPER ST
BUFFALO, NY
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1851677439 — DEBBIE TAMPLIN
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119 W TUPPER ST
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1134405673 — TREGG JOHNSON
Practice Location Address:
119 W TUPPER ST
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14201-2142
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Practice Fax: 716-853-5020

Directions to “EPISCOPAL RESIDENTIAL HEALTH CARE FACILITY INC ” Practice Location

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