Healthcare Provider Details

I. General information

NPI: 1992428080
Provider Name (Legal Business Name): BUFFALO PSYCHIATRY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2022
Last Update Date: 09/22/2022
Certification Date: 09/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 MAPLE RD
BUFFALO NY
14221-2920
US

IV. Provider business mailing address

37 MAPLE RD
BUFFALO NY
14221-2920
US

V. Phone/Fax

Practice location:
  • Phone: 716-200-9642
  • Fax: 716-633-8085
Mailing address:
  • Phone: 716-200-9642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. IRINA SCHWARTZ
Title or Position: OWNER
Credential: MD
Phone: 716-200-9642