COMMUNITY HEALTH CENTER OF BUFFALO, INC. (NPI# 1790787919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790787919 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF BUFFALO, INC. |
| Practice Address |
34 Benwood Ave Buffalo NY 14214-1761 |
| Mailing Address |
34 Benwood Avenue Buffalo NY 14214 |
| Practice Telephone | 7169869199 |
| Practice Fax Number | 7168359354 |
| Mailing Telephone | 7169869199 |
| Mailing Fax Number | 7168359353 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2015-05-07 |
| Authorized Official Name | DR. LAVONNE ANSARI (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7169869199 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
1401230R | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02045283 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTER OF BUFFALO, INC. | 34 Benwood Ave Ste 1, Buffalo, NY 14214-1761 |
| New York State Corporations | COMMUNITY HEALTH CENTER OF BUFFALO, INC. | 462 Grider Street, Buffalo, Ny 14215 |
| Street Address |
34 BENWOOD AVE |
| City | BUFFALO |
| State | NY |
| Zip Code | 14214-1761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097802 | Sarah Welch Miller | Nurse Practitioner | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2020-09-15 |
| 1962015719 | Michelle Renee Smith | Nurse Practitioner | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2020-08-30 |
| 1780207530 | Kevin Costanzo | Dietitian, Registered | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2020-05-27 |
| 1053930834 | Bharat Kohli | Family Medicine | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2020-04-13 |
| 1932753217 | Mary Louise Walker | Social Worker | 34 Benwood Ave, Buffalo, NY 14214 | 2019-07-25 |
| 1881193613 | Sejal Dhavalkumar Shah | Pharmacist | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2018-02-07 |
| 1225577455 | Darlene Volmy | Physical Medicine & Rehabilitation | 34 Benwood Ave, Buffalo, NY 14214 | 2017-02-21 |
| 1053850438 | Zachary Juliano | Physician Assistant | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2017-02-17 |
| 1093121220 | Shahla Ahmad | Family Medicine | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2014-07-09 |
| 1568721819 | Furqan Ahmed | Registered Nurse | 34 Benwood Ave, Buffalo, NY 14214-1761 | 2012-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862935 | Hafiz Muhammad Fazeel | Student in an Organized Health Care Education/Training Program | 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 | 2020-05-18 |
| 1962031542 | Sana Annan | Anesthesiology | 195 Holden St, Buffalo, NY 14214 | 2020-04-06 |
| 1508404401 | Gabrielle Korman | Counselor | 70 Jewett Parkway, Buffalo, NY 14214 | 2019-12-11 |
| 1215581541 | Ahmed Nagy Abdelrahman | Speech-Language Pathologist | 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 | 2019-07-25 |
| 1316590086 | Megan Elizabeth Quinn | Social Worker | 34 Benwood Ave., Buffalo, NY 14214 | 2019-07-22 |
| 1235690553 | Iqra Qamar | Student in an Organized Health Care Education/Training Program | 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 | 2019-03-28 |
| 1477034676 | April Forsaith Villacrusis | Specialist/Technologist | 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 | 2018-08-24 |
| 1437656675 | Anum Nida | Student in an Organized Health Care Education/Training Program | Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 | 2018-04-12 |
| 1710480173 | Wny Podiatric Associates Pllc | Podiatrist | 2121 Main St Ste 214, Buffalo, NY 14214 | 2018-03-13 |
| 1043738446 | Alexander Paul Peters | Physical Therapist | 53 Robie St, Apt 3, Buffalo, NY 14214 | 2017-09-06 |
| Find all providers in zip 14214 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1023462041 | Evette Kubichko | Clinic/Center | 67 W Taconic Rd, Wappingers Falls, NY 12590-6632 | 2016-04-15 |
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| 1457736456 | Vital Meridian Acupuncture P.C. | Clinic/Center | 134 Beach 98th St, Apt.1, Rockaway Park, NY 11694-2851 | 2015-07-21 |
| 1548647779 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 7309 Seneca Rd N Ste 112, Hornell, NY 14843-9691 | 2015-04-27 |
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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.