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NPI Code Detail

MEDICARE: KALEIDA HEALTH WATERFRONT HEALTH CARE CENTER

MEDICARE: KALEIDA HEALTH WATERFRONT HEALTH CARE CENTER
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
1314000000XSkilled Nursing Facility1401333NNY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11401333NOTHERNYOPERATING CERTIFICATE/LIC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780689299
Entity Type Code : Organization
Provider Name (Legal Business Name) : KALEIDA HEALTH WATERFRONT HEALTH CARE CENTER
Provider Business Mailing Address
First Line : 200 7TH ST
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2161
Country : US
Telephone Number : 716-847-2500
Fax Number : 716-847-1312
Provider Business Practice Location Address
First Line : 200 7TH ST
Second Line :
City : BUFFALO
State : NY
Zip : 14201-2161
Country : US
Telephone Number : 716-847-2500
Fax Number : 716-847-1312
Authorized Official
Title or Position : ADMINISTRATOR
Name : MRS. MAUREEN E CARUANA
Credential :
Telephone Number : 716-847-2500
Provider Enumeration Date : 06/21/2005
Last Update Date : 08/22/2020

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Directions to “KALEIDA HEALTH WATERFRONT HEALTH CARE CENTER ” Practice Location

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