Basic Information
| Provider Information | |||||||||
| NPI: | 1730512948 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY MEDICAL RESIDENCY SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 117 CARY HALL | ||||||||
| Address2: | 3435 MAIN STREET | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 142143023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168292012 | ||||||||
| FaxNumber: | 7168293999 | ||||||||
| Practice Location | |||||||||
| Address1: | 100 HIGH STREET, B2 ORTHO | ||||||||
| Address2: | BUFFALO GENERAL MEDICAL CENTER | ||||||||
| City: | BUFFALO | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14203 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7168591256 | ||||||||
| FaxNumber: | 7168594586 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/12/2013 | ||||||||
| LastUpdateDate: | 08/12/2013 | ||||||||
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| AuthorizedOfficialLastName: | ALLEN | ||||||||
| AuthorizedOfficialFirstName: | COLLEEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | DIRECTOR OF HUMAN RESOURCES | ||||||||
| AuthorizedOfficialTelephone: | 7168296130 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 282N00000X | Y | Hospitals | General Acute Care Hospital |
No ID Information.