Organization
CATHOLIC CHARITIES OF BUFFALO
Active
Other names
Monsignor Carr Institute
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS WALCZYK (CHIEF EXECUTIVE OFFICER)
(716) 218-1450
Entity
Organization
Contact information
Practice address
76 W. HUMBOLDT PARKWAY, BUFFALO, NY 14214
(716) 856-4494
(716) 842-1277
Mailing address
741 DELAWARE AVE, BUFFALO, NY 14209-2201
(716) 218-1450
(716) 332-2820
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030241501
UNIVERA
NY
05
—
02998227
—
NY
01
—
5390701
AETNA
NY
Enumeration date
10/03/2006
Last updated
02/10/2015
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