| Lake Shore Behavioral Health | |
|
255 Delaware Ave Suite 300 Buffalo NY 14202-2016 | |
| (716) 842-0440 | |
| Not Available |
| Full Name | Lake Shore Behavioral Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 255 Delaware Ave, Buffalo, New York |
| Authorized Official Name and Position | Howard K Hitzel (PRESIDENT) |
| Authorized Official Contact | 7168420440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Shore Behavioral Health 255 Delaware Ave Ste 300 Buffalo NY 14202-2016 Ph: (716) 842-0440 | Lake Shore Behavioral Health 255 Delaware Ave Suite 300 Buffalo NY 14202-2016 Ph: (716) 842-0440 |
| NPI Number | 1487973426 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487973426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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