Organization
LAKE SHORE BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD HITZEL PSY. D. (PRESIDENT)
(716) 842-0440
Entity
Organization
Contact information
Practice address
LAKE SHORE BEHAVIORAL HEALTH, 254 FRANKLIN STREET, BUFFALO, NY 14202
(716) 842-0440
(716) 842-4069
Mailing address
430 NIAGARA ST, BUFFALO, NY 14201-1886
(716) 842-0440
(716) 842-4069
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
02732658
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MMIS#02732658
RISPERDAL CONSTA
NY
Enumeration date
12/24/2007
Last updated
12/24/2007
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