# GREATER BUFFALO UNITED IPA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greater Buffalo United Accountable Healthcare Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033484894
- **Authorized official:** DR. RAUL VAZQUEZ M.D. (CHIEF MEDICAL OFFICER)
- **Authorized official phone:** (716) 882-0366

## Contact information

- **Practice address:** 564 NIAGARA ST, BUFFALO, NY 14201
- **Practice address phone:** (716) 882-0366
- **Practice address fax:** (716) 830-4840
- **Mailing address:** 564 NIAGARA ST, BUFFALO, NY 14201-1108
- **Mailing address phone:** (716) 882-0366
- **Mailing address fax:** (716) 830-4840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 185052 | NY | Yes |
| 251B00000X | Case Management Agency | — | NY | — |

## Other

- **Enumeration date:** 03/13/2012
- **Last updated:** 06/20/2018