Basic Information
Provider Information
NPI: 1134391485
EntityType: 2
ReplacementNPI:  
OrganizationName: PLANNED PARENTHOOD OF WESTERN NEW YORK INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
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Mailing Information
Address1: 2697 MAIN ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 142141701
CountryCode: US
TelephoneNumber: 7168312200
FaxNumber:  
Practice Location
Address1: 2697 MAIN ST
Address2:  
City: BUFFALO
State: NY
PostalCode: 142141701
CountryCode: US
TelephoneNumber: 7168312200
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/27/2008
LastUpdateDate: 06/19/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: SCHIFFHAUER
AuthorizedOfficialFirstName: COLLEEN
AuthorizedOfficialMiddleName: M
AuthorizedOfficialTitleorPosition: DIRECTOR OF PATIENT SERVICES
AuthorizedOfficialTelephone: 7168312200
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: WHNP
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
261QA0005X  Y Ambulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility

No ID Information.


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