| Community Health Center Of Buffalo, Inc. | |
|
34 Benwood Ave Buffalo NY 14214-1761 | |
| (716) 986-9199 | |
| (716) 835-9354 |
| Full Name | Community Health Center Of Buffalo, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 34 Benwood Ave, Buffalo, New York |
| Authorized Official Name and Position | Lavonne Ansari (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7169869199 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Buffalo, Inc. 34 Benwood Avenue Buffalo NY 14214 Ph: (716) 986-9199 | Community Health Center Of Buffalo, Inc. 34 Benwood Ave Buffalo NY 14214-1761 Ph: (716) 986-9199 |
| NPI Number | 1790787919 |
|---|---|
| Provider Enumeration Date | 06/01/2005 |
| Last Update Date | 05/07/2015 |
| Medicare PECOS PAC ID | 8527052265 |
|---|---|
| Medicare Enrollment ID | O20040414000453 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790787919 | NPI | - | NPPES |
| 02045283 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 1401230R (New York) | Primary |
| Provider Name | Mirza Beg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710911268 PECOS PAC ID: 7315837838 Enrollment ID: I20040318000469 |
| Provider Name | Stacie L Wier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841393055 PECOS PAC ID: 9133187628 Enrollment ID: I20041230000224 |
| Provider Name | Timothy S Banks |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104996172 PECOS PAC ID: 6901858950 Enrollment ID: I20050217000550 |
| Provider Name | Israr A Abbasi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518925437 PECOS PAC ID: 8325143266 Enrollment ID: I20070420000344 |
| Provider Name | Jennifer L Mccann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205998580 PECOS PAC ID: 7416006481 Enrollment ID: I20090521000371 |
| Provider Name | Tinh T Dao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942301189 PECOS PAC ID: 4385778489 Enrollment ID: I20100811000514 |
| Provider Name | Emily Laduca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558674242 PECOS PAC ID: 1153516497 Enrollment ID: I20101111000862 |
| Provider Name | Kendra P Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336229731 PECOS PAC ID: 4082882865 Enrollment ID: I20110721000583 |
| Provider Name | Gigi Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831453133 PECOS PAC ID: 9133385099 Enrollment ID: I20120720000116 |
| Provider Name | Robert G Lugo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700179827 PECOS PAC ID: 6406073311 Enrollment ID: I20140815001183 |
| Provider Name | Kenyani S Davis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427315415 PECOS PAC ID: 4082900824 Enrollment ID: I20160906000431 |
| Provider Name | Hannah S Bailey |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619223443 PECOS PAC ID: 2466740410 Enrollment ID: I20161007000597 |
| Provider Name | Latasha Gardener |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104349117 PECOS PAC ID: 5597039677 Enrollment ID: I20170928001525 |
| Provider Name | Shahla Ahmad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093121220 PECOS PAC ID: 0143500694 Enrollment ID: I20171107001747 |
| Provider Name | Matthew James Stuart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205859162 PECOS PAC ID: 8527161918 Enrollment ID: I20180604000456 |
| Provider Name | Selene M Czach |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1326482217 PECOS PAC ID: 2365786456 Enrollment ID: I20181129003182 |
| Provider Name | Shilpa Kapoor |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1124566021 PECOS PAC ID: 3072899020 Enrollment ID: I20190815002599 |
| Provider Name | Fernando A Pineda |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154987667 PECOS PAC ID: 5092148866 Enrollment ID: I20191209002212 |
| Provider Name | Shery Goril |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689038838 PECOS PAC ID: 0446597819 Enrollment ID: I20200113000964 |
| Provider Name | Megan Quinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316590086 PECOS PAC ID: 4082045141 Enrollment ID: I20200506000929 |
| Provider Name | Michelle R Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962015719 PECOS PAC ID: 8022429174 Enrollment ID: I20201123000884 |
| Provider Name | Mary Katherine Kosowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558937441 PECOS PAC ID: 8527451921 Enrollment ID: I20220208000559 |
| Provider Name | Julia A Devonish |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902369556 PECOS PAC ID: 7719214071 Enrollment ID: I20230320000920 |
| Provider Name | James A Budu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730695917 PECOS PAC ID: 7517322837 Enrollment ID: I20230420000878 |
| Provider Name | Rachna Bharti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053505131 PECOS PAC ID: 5092882811 Enrollment ID: I20230927002700 |
| Provider Name | Scott C Matheis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245919133 PECOS PAC ID: 3870940364 Enrollment ID: I20231106000071 |
| Provider Name | Halil Ergonenc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427838176 PECOS PAC ID: 7517317639 Enrollment ID: I20240102000780 |
| Provider Name | James N Wieland |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1669691739 PECOS PAC ID: 0648581496 Enrollment ID: I20240322003542 |
| Provider Name | Briana Kim |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1891363289 PECOS PAC ID: 6305240094 Enrollment ID: I20240430001046 |
Buffalo Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 Genesee St, Buffalo, NY 14211 Phone: 716-895-2200 Fax: 716-895-3300 | |
Jeremiah O Sullivan Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2218 Main St, Buffalo, NY 14214 Phone: 716-834-4141 Fax: 716-838-5840 | |
Greater Buffalo United Accountable Healthcare Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 564 Niagara St, Buffalo, NY 14201 Phone: 716-882-0366 Fax: 716-830-4840 | |
Buffalo Psychiatric Center Act Team Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Forest Ave, Building 51 A Area, Buffalo, NY 14213 Phone: 716-885-2261 | |
Winston G Douglas Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 755 Wehrle Dr, Buffalo, NY 14225 Phone: 716-884-8033 Fax: 716-342-2523 | |
Carewell Medical Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 462 Grider St, Buffalo, NY 14215 Phone: 716-830-5453 Fax: 716-332-3525 | |
Nutrition With Noelle P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2075 Sheridan Dr, Buffalo, NY 14223 Phone: 716-417-6388 |