BUFFALO VAMC (NPI# 1053719658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053719658 |
| Entity Type | Organization |
| Organization Name | BUFFALO VAMC |
| Other Organization Name | SARANAC LAKE VA CLINIC |
| Practice Address |
33 Depot St Saranac Lake NY 12983-1497 |
| Mailing Address |
Po Box 3011 Lebanon PA 17042-3011 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2015-09-01 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SARANAC LAKE VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1659779254 | Buffalo Vamc | Clinic/Center | 24 Maple View Ln, Suite 2, Coudersport, PA 16915-9527 | 2014-12-12 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1982643391 | Buffalo Vamc | Clinic/Center | 1346 Gerling St, Schenectady, NY 12308-1702 | 2006-06-05 |
| 1104864743 | Buffalo Vamc | Clinic/Center | 437 State Route, 104e, Oswego, NY 13126-2998 | 2006-06-04 |
| 1912945387 | Buffalo Vamc | Clinic/Center | 5180 North Catherine Street, Plattsburgh, NY 12901-2853 | 2006-06-04 |
| 1457399495 | Buffalo Vamc | Clinic/Center | 6100 St. Lawrence Centre, Massena, NY 13662-3214 | 2006-06-03 |
| 1356388854 | Buffalo Vamc | Clinic/Center | 2201 Pine Ave, Niagara Falls, NY 14301-2300 | 2006-06-01 |
| Street Address |
33 DEPOT ST |
| City | SARANAC LAKE |
| State | NY |
| Zip Code | 12983-1497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780842674 | Wilfredo Go Rosell | Internal Medicine | 33 Depot St, Saranac Lake, NY 12983-1497 | 2008-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013486315 | Aisha Dominique Wood | Physical Therapist | 2233 Ny-86, Saranac Lake, NY 12983 | 2018-11-15 |
| 1215357132 | Ashley Garwood | Occupational Therapist | 38 Tahoma Road, Saranac Lake, NY 12983 | 2014-04-17 |
| 1841537982 | Dean Everritt | Social Worker | 33 Depot St., Saranac Lake, NY 12983 | 2013-01-09 |
| 1265797013 | Danielle Carr | Counselor | 28 Bernard Street, Saranac Lake, NY 12983 | 2012-07-09 |
| 1275807489 | Deborah Ann Stevens | Licensed Practical Nurse | 157 Bloomingdale Ave Apt 3, Saranac Lake, NY 12983 | 2012-03-06 |
| 1699085910 | Jessica Evans Jakobe | Speech-Language Pathologist | 141 Petrova Ave, Petrova Elementary, Saranac Lake, NY 12983 | 2010-10-20 |
| 1548407562 | Eve M Burns | Obstetrics & Gynecology | 309 County Route 47 Ste 2, Saranac Lake, NY 12983 | 2009-01-13 |
| 1174735492 | Citizen Advocates Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6 Shepard Ave Apt. 1, Saranac Lake, NY 12983 | 2007-05-07 |
| 1750442513 | High Peaks Hospice and Palliative Care, Inc. | Hospice Care, Community Based | 309 County Route 47 Ste 7, Saranac Lake, NY 12983 | 2006-12-13 |
| 1467536797 | Clifford Gerard Wagner | Chiropractor | 53 Woodruff Street, Saranac Lake, NY 12983 | 2006-10-24 |
| Find all providers in zip 12983 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 1033517602 | Buffalo Vamc | Clinic/Center | 910 Erie Boulevard East, 2nd Floor, Syracuse, NY 13210-1060 | 2014-12-15 |
| 1366840969 | Buffalo Vamc | Clinic/Center | 572 South Salina Street, Syracuse, NY 13202-3320 | 2014-12-12 |
| 1467649897 | Montrose Vamc | Clinic/Center | 2881 Church St, Route 199, Pine Plains, NY 12567-5545 | 2007-10-01 |
| 1538350616 | Vet Center | Clinic/Center | 17 Computer Dr W, Albany, NY 12205-1614 | 2007-08-05 |
| 1952339400 | Buffalo Vamc | Clinic/Center | 324 Plaza Road, Kingston, NY 12401 | 2006-06-30 |
| 1245270065 | Bronx Vamc | Clinic/Center | 23 S Broadway, White Plains, NY 10601-3503 | 2006-06-08 |
| 1184664567 | Buffalo Vamc | Clinic/Center | 295 River St, Troy, NY 12180-3215 | 2006-06-07 |
| 1174563548 | Soho Community Clinic | Clinic/Center | 245 W Houston St, Room 313, New York, NY 10014-4805 | 2006-06-07 |
| 1487693362 | New York Vamc | Clinic/Center | 1150 South Ave, 3rd Floor-suite 301, Staten Island, NY 10314-3404 | 2006-06-06 |
| Find all providers with the same taxonomy | ||||
| City | SARANAC LAKE |
| Zip Code | 12983 |
Please comment or provide details below to improve the information on BUFFALO VAMC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.