Healthcare Provider Details

I. General information

NPI: 1417292020
Provider Name (Legal Business Name): COUNTY OF NIAGARA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2012
Last Update Date: 06/26/2024
Certification Date: 06/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001-TTH STREET
NIAGARA FALLS NY
14301-1201
US

IV. Provider business mailing address

1001-11TH STREET 3RD FLOOR
NIAGARA FALLS NY
14301-1201
US

V. Phone/Fax

Practice location:
  • Phone: 716-278-8596
  • Fax: 716-278-1936
Mailing address:
  • Phone: 716-278-8596
  • Fax: 716-278-1936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number3101600
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DANIEL J. STAPLETON
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: M.B.A.
Phone: 716-439-7435