Organization
MERCY HOSPITAL OF BUFFALO
Active
Parent organization
MERCY HOSPITAL OF BUFFALO
Other names
Mercy Hospitalist Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL OF BUFFALO
Authorized official
CHARLES J. URLAUB (CEO/PRESIDENT)
(716) 828-2008
Entity
Organization
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2008
Mailing address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 828-2008
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
NY
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
NY
208M00000X
Hospitalist Physician
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03388534
—
NY
Enumeration date
05/16/2011
Last updated
11/30/2020
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