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NPI Code Detail

MEDICARE: BUFFALO HEART GROUP

MEDICARE: BUFFALO HEART GROUP
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
1174400000XSpecialist

General Provider Information

NPI Number : 1528000106
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUFFALO HEART GROUP
Provider Business Mailing Address
First Line : 3435 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1145
Country : US
Telephone Number : 716-835-2981
Fax Number :
Provider Business Practice Location Address
First Line : 3435 BAILEY AVE
Second Line :
City : BUFFALO
State : NY
Zip : 14215-1145
Country : US
Telephone Number : 716-835-2981
Fax Number :
Authorized Official
Title or Position : REIMB MANAGER
Name : JACKIE LUCAS
Credential :
Telephone Number : 716-835-2981
Provider Enumeration Date : 06/11/2006
Last Update Date : 08/18/2008

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Directions to “BUFFALO HEART GROUP ” Practice Location

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