Organization
VA OF WNY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER A. MCDONALD RN (RN, BEHAVIORAL HEALTH)
(716) 862-3131
Entity
Organization
Contact information
Practice address
3495 BAILEY AVE, BUFFALO, NY 14215-1129
(716) 834-9200
Mailing address
1310 DELAWARE AVE, APT 314, BUFFALO, NY 14209-1140
(716) 931-4794
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
273R00000X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70890
PRI ASSESSOR NUMBER
NY
Enumeration date
09/18/2013
Last updated
09/18/2013
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