Organization
UNIVERSITY AT BUFFALO SPEECH-LANGUAGE & HEARING CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ANN T ROBERTS AUD (CLINIC DIRECTOR ASSOCIATE PROFESSOR)
(716) 829-2797
Entity
Organization
Contact information
Practice address
52 BIOMEDICAL EDUCATION BLDG, BUFFALO, NY 14214-8016
(716) 829-3980
(716) 829-3974
Mailing address
52 BIOMEDICAL EDUCATION BLDG, BUFFALO, NY 14214-8016
(716) 829-3980
(716) 829-3974
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
1500001003
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011240404
UNIVERA
—
01
—
9210117
INDEPENDENT HEALTH
—
Enumeration date
12/16/2005
Last updated
08/22/2020
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