BUFFALO VAMC (NPI# 1477951077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477951077 |
| Entity Type | Organization |
| Organization Name | BUFFALO VAMC |
| Other Organization Name | ERIE WEST VA OOS |
| Practice Address |
620 Erie Blvd W Syracuse NY 13204-2445 |
| Mailing Address |
Po Box 3011 Lebanon PA 17042-3011 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2014-12-12 |
| Last Update Date | 2014-12-12 |
| 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 |
|---|---|
| ERIE WEST VA OOS | 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 |
620 ERIE BLVD W |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204-2445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902920804 | Richard Alan Craybas | Dentist | 620 Erie Blvd W, #310, Syracuse, NY 13204-2445 | 2007-03-17 |
| 1841890084 | Katharine O'connell | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-10-27 |
| 1215569363 | Michelle Lynn Warner | Marriage & Family Therapist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2020-02-06 |
| 1306498480 | Joshua Paul Doyle | Counselor | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2019-07-10 |
| 1871071134 | Victoria Pauldine | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2018-07-30 |
| 1538656673 | Bethany Ann Pecora-sanefski | Psychologist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2018-04-14 |
| 1538697925 | Kelly Marie Coggen | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2017-05-30 |
| 1336696525 | Megan Furco | Counselor | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-09-06 |
| 1194271353 | Melissa Reilly | Social Worker | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-08-28 |
| 1346693215 | Laura Cathleen Hruska | Psychologist | 620 Erie Blvd W, Syracuse, NY 13204-2445 | 2016-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518519693 | Domingo Colon | Clinic/Center | 101 Pondfield Rd W, Bronxville, NY 10708-2100 | 2019-07-10 |
| 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 |
| 1023057965 | Bronx Vamc | Clinic/Center | 124 New Main St, Yonkers, NY 10701-4126 | 2006-06-06 |
| 1982643391 | Buffalo Vamc | Clinic/Center | 1346 Gerling St, Schenectady, NY 12308-1702 | 2006-06-05 |
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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.