URBAN FAMILY PRACTICE PC (NPI# 1164594099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164594099 |
| Entity Type | Organization |
| Organization Name | URBAN FAMILY PRACTICE PC |
| Other Organization Name | RAUL VAZQUEZ MD |
| Practice Address |
564 Niagara Street Buffalo NY 14201 |
| Practice Telephone | 7168820366 |
| Practice Fax Number | 7168848096 |
| Mailing Telephone | 7168820366 |
| Mailing Fax Number | 7168848096 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-09-02 |
| Authorized Official Name | DR. RAUL VAZQUEZ (PRESIDENT) |
| Authorized Official Telephone | 7168820366 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
010025 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
F332631 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207PT0002X |
Emergency Medicine Specialization: Medical Toxicology |
1850521NYS | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01359017 | 05 | |
| UNIVERA HEALTH | 00030011001 | 01 | |
| INDEPENDENT HEALTH | 0108003 | 01 | |
| NY | BCBS COMM BLUE | 005115189 | 01 |
| Other Name | Type Code |
|---|---|
| Raul Vazquez MD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884263 | Urban Family Practice PC | Clinic/Center | 564 Niagara St, Buffalo, NY 14201-1108 | 2020-09-01 |
| Street Address |
564 NIAGARA STREET |
| City | BUFFALO |
| State | NY |
| Zip Code | 14201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619592201 | Linda Berkoh-asamoah | Nurse Practitioner | Evergreen Health Services, 206 S. Elmwood Avenue, Buffalo, NY 14201 | 2020-06-10 |
| 1790223303 | Walaa Kadhum | Social Worker | 340 Niagara Street, Buffalo, NY 14201 | 2017-02-02 |
| 1285171025 | Santina Grace Phillips | Counselor | 10 Symphony Circle, Buffalo, NY 14201 | 2017-01-31 |
| 1073976759 | Jana Riesterer | Social Worker | 254 Virginia Street, Buffalo, NY 14201 | 2016-03-31 |
| 1710309414 | Chs N.y. Medical P.C. | General Practice | 10 Sheridan Rd, Buffalo, NY 14201 | 2014-01-15 |
| 1467722314 | Kristin Nicole Halter | Counselor | 591 Niagara Street, Buffalo, NY 14201 | 2012-01-10 |
| 1538446844 | Robert Martin Kennuth | Specialist/Technologist | 329 Porter Ave, D'youville College, Buffalo, NY 14201 | 2011-11-15 |
| 1902115033 | James W Burcher | Registered Nurse | 430 Niagara, Buffalo, NY 14201 | 2010-10-07 |
| 1336468115 | Jane Leslie Burgio | Speech-Language Pathologist | 315 Carolina St, Buffalo, NY 14201 | 2010-05-19 |
| 1376787044 | Jessica Christina | Licensed Practical Nurse | 85 Johnson Park, Buffalo, NY 14201 | 2009-04-26 |
| Find all providers in zip 14201 | ||||
| Taxonomy Code | 207PT0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Medical Toxicology |
| Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings and environmental and workplace exposures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487975330 | Daniel Gyasi Lev Herbert-cohen | Emergency Medicine | 515 W 59th St Apt 16r, New York, NY 10019-1041 | 2010-06-15 |
| 1962575647 | In-hei Hahn | Emergency Medicine | 1000 Tenth Avenue, Rm Ge-01, Roosevelt Hospital, Department of Emergency Medicine, New York, NY 10019 | 2006-11-17 |
| 1710491568 | Weill Medical College of Cornell | Emergency Medicine | 525 E 68th St, New York, NY 10065-4870 | 2017-11-30 |
| 1396123576 | Arie Pearce Francis | Emergency Medicine | 101 Nicolls Rd, Hsc L4 Rm 050, Stony Brook, NY 11794-0001 | 2015-05-08 |
| 1033552930 | Rachel Shively | Emergency Medicine | 300 Community Dr, Manhasset, NY 11030-3816 | 2013-04-10 |
| 1033415880 | Adam J Berman | Emergency Medicine | 27005 76th Ave, Lij Emergency Medicine, New Hyde Park, NY 11040-1402 | 2011-01-26 |
| 1508012303 | Jeff M. Lapoint | Emergency Medicine | 455 1st Ave, New York, NY 10016-9102 | 2008-08-12 |
| 1831284272 | Glendon C Henry | Emergency Medicine | 506 Lenox Avenue, Wp-522, New York, NY 10037-5501 | 2006-10-03 |
| 1467566398 | Timothy J Wiegand | Emergency Medicine | 601 Elmwood Ave, Box 655, Rochester, NY 14642-8655 | 2006-08-18 |
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| 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.