Organization
LAKE SHORE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD K HITZEL (PRESIDENT)
(716) 842-0440
Entity
Organization
Contact information
Practice address
430 NIAGARA STREET, TRANSPORTATION, BUFFALO, NY 14201
(716) 856-2587
(716) 856-2608
Mailing address
254 FRANKLIN STREET, LAKE SHORE BEHAVIORAL HEALTH, BUFFALO, NY 14202
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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