Healthcare Provider Details

I. General information

NPI: 1831450543
Provider Name (Legal Business Name): BUFFALO HEARING & SPEECH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 05/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 GREENCASTLE LN
WILLIAMSVILLE NY
14221-1765
US

IV. Provider business mailing address

106 GREENCASTLE LN
WILLIAMSVILLE NY
14221-1765
US

V. Phone/Fax

Practice location:
  • Phone: 716-688-9363
  • Fax:
Mailing address:
  • Phone: 716-688-9363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number684399961
License Number StateNY

VIII. Authorized Official

Name: MRS. KATIE MARIE GRIFFO
Title or Position: SPECIAL EDUCATOR/EVALUATOR
Credential: M.S. SP. ED.
Phone: 716-688-9363