Organization
CATHOLIC HEALTH SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN GIBSON (DIRECTOR OF REHAB SERVICES)
(716) 923-4832
Entity
Organization
Contact information
Practice address
1495 MILITARY RD, KENMORE, NY 14217-1339
(716) 447-6037
(716) 447-6575
Mailing address
1495 MILITARY RD, KENMORE, NY 14217-1339
(716) 447-6037
(716) 447-6575
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
004961-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770598104
—
NY
Enumeration date
12/14/2016
Last updated
12/14/2016
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