Basic Information
| Provider Information | |||||||||
| NPI: | 1235306671 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ASSOCIATED HEALTHCARE SYSTEMS, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 85 WOODRIDGE DR | ||||||||
| Address2: | |||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142282221 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7165644500 | ||||||||
| FaxNumber: | 7165643042 | ||||||||
| Practice Location | |||||||||
| Address1: | 738 E RIDGE RD | ||||||||
| Address2: | |||||||||
| City: | ROCHESTER | ||||||||
| State: | NY | ||||||||
| PostalCode: | 146211719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5853422360 | ||||||||
| FaxNumber: | 5853422363 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/14/2008 | ||||||||
| LastUpdateDate: | 06/22/2010 | ||||||||
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| AuthorizedOfficialLastName: | SAMULAK | ||||||||
| AuthorizedOfficialFirstName: | ARLETTA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CFO | ||||||||
| AuthorizedOfficialTelephone: | 7165644500 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332B00000X | NY | Y | Suppliers | Durable Medical Equipment & Medical Supplies |
No ID Information.