Organization
CHS NEUROSCIENCE GROUP
Active
Parent organization
MERCY HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY HOSPITAL
Authorized official
CHARLES J URLAUB (CEO/PRESIDENT)
(716) 828-2008
Entity
Organization
Contact information
Practice address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 826-7000
Mailing address
565 ABBOTT RD, BUFFALO, NY 14220-2039
(716) 826-7000
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
2084A2900X
Neurocritical Care Physician
—
—
2084N0400X
Neurology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03757444
—
NY
Enumeration date
08/17/2011
Last updated
11/22/2016
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