Healthcare Provider Details

I. General information

NPI: 1831229780
Provider Name (Legal Business Name): KALEIDA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 GATES CIR
BUFFALO NY
14209-1120
US

IV. Provider business mailing address

726 EXCHANGE ST STE 300
BUFFALO NY
14210-1467
US

V. Phone/Fax

Practice location:
  • Phone: 716-887-4600
  • Fax:
Mailing address:
  • Phone: 716-859-8396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number StateNY

VIII. Authorized Official

Name: MRS. KATHERINE TOMASULO
Title or Position: DIRECTOR REVENUE CYCLE OPERATIONS
Credential:
Phone: 716-859-8382