Organization
ERIE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE TRAPPER (SR. CLERK TYPIST)
(716) 858-8917
Entity
Organization
Contact information
Practice address
134 W EAGLE ST STE 515, BUFFALO, NY 14202-3800
(716) 858-4998
Mailing address
134 WEST EAGLE STREET, 5TH FL, RM 515, BUFFALO, NY 14202
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/12/2017
Last updated
07/12/2017
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