Organization
URBAN FAMILY PRACTICE PC
Active
Other names
Grace at Home, Grace at Home Medical Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KANE D BACH-REYES CPCS (SENIOR DIRECTOR)
(917) 514-3188
Entity
Organization
Contact information
Practice address
564 NIAGARA STREET, BUFFALO, NY 14201
(716) 882-0366
(716) 884-8096
Mailing address
564 NIAGARA ST BLDG 2, BUFFALO, NY 14201-1108
(716) 882-0366
(716) 306-4177
Taxonomy
Speciality
Code
Description
License number
State
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
1850521NYS
NY
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
F332631
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030011001
UNIVERA HEALTH
—
01
—
005115189
BCBS COMM BLUE
NY
01
—
0108003
INDEPENDENT HEALTH
—
05
—
0381212
—
NY
Enumeration date
11/15/2006
Last updated
05/07/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us