Organization
GREATER BUFFALO UNITED IPA
Active
Other names
Greater Buffalo United Accountable Healthcare Network
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL VAZQUEZ M.D. (CHIEF MEDICAL OFFICER)
(716) 882-0366
Entity
Organization
Contact information
Practice address
564 NIAGARA ST, BUFFALO, NY 14201
(716) 882-0366
(716) 830-4840
Mailing address
564 NIAGARA ST, BUFFALO, NY 14201-1108
(716) 882-0366
(716) 830-4840
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
185052
NY
251B00000X
Case Management Agency
—
NY
Other
Enumeration date
03/13/2012
Last updated
06/20/2018
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