Organization
COMMUNITY HEALTH CENTER OF BUFFALO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIQUA BAKER (SENIOR PROJECT MANAGER)
(716) 986-9199
Entity
Organization
Contact information
Practice address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 986-9199
(716) 835-9354
Mailing address
34 BENWOOD AVE, BUFFALO, NY 14214-1761
(716) 986-9199
(716) 835-9353
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
1401230R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02045283
—
NY
Enumeration date
06/01/2005
Last updated
10/01/2025
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