MEDICARE: BUFFALO VAMC

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
1	261QV0200X	VA Clinic/Center

General Provider Information

NPI Number	:	1811948433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUFFALO VAMC

Provider Business Mailing Address
First Line	:	PO BOX 94434
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44101-4434
Country	:	US
Telephone Number	:	717-277-6565
Fax Number	:

Provider Business Practice Location Address
First Line	:	159 JEFFERSON HTS
Second Line	:	SUITE 102
City	:	CATSKILL
State	:	NY
Zip	:	12414-1237
Country	:	US
Telephone Number	:	717-277-6565
Fax Number	:

Authorized Official
Title or Position	:	NPI TEAM MEMBER
Name	:	ERIN POTTER
Credential	:
Telephone Number	:	202-382-2579

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/10/2023

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