Lake Shore Behavioral Health in Buffalo - Clinic/center
Lake Shore Behavioral Health - NPI 1346424520
Lake Shore Behavioral Health is a Clinic/center in Buffalo, New York. Lake Shore Behavioral Health practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Lake Shore Behavioral Health is 1346424520. The last update date is 2007-12-24.
Lake Shore Behavioral Health's current location address is 430 Niagara St, Buffalo, New York. You can contact this provider via phone number 7168420440 and fax number 7168424069. The mailing address for Lake Shore Behavioral Health is 430 Niagara St, Buffalo, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Behavioral Health |
|---|---|
| Address | 430 Niagara St, Buffalo, New York |
| Phone Number | 7168420440 |
| Fax Number | 7168424069 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Hitzel Howard |
| Credentials | PSY. D. |
| Telephone Number | 7168420440 |
NPI Number Detail
| NPI Number | 1346424520 |
|---|---|
| Provider Enumeration Date | 2007-12-24 |
| Last Updated Date | 2007-12-24 |
Provider Mailing Address Detail
| Address | 430 Niagara St |
|---|---|
| City | Buffalo |
| State | New York (NY) |
| Post Code | 142011886 |
| Phone Number | 7168420440 |
| Fax Number | 7168424069 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | 2732658 |
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Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MMIS#02732658 | NY | RISPERDAL CONSTA |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Shore Behavioral Health by the Centers for Medicare & Medicaid Services?
The Lake Shore Behavioral Health has been assigned the NPI (National Provider Identifier) 1346424520. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lake Shore Behavioral Health?
The Lake Shore Behavioral Health is situated at 430 Niagara St, in the city of Buffalo, state of NY, with the zip code 142011886.
What is the area of specialization for Lake Shore Behavioral Health, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lake Shore Behavioral Health is Clinic/center, and the corresponding taxonomy code that categorizes this area of expertise is 261Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1346424520 to Lake Shore Behavioral Health?
The Centers for Medicare & Medicaid Services assigned the 1346424520 to Lake Shore Behavioral Health on 2007-12-24.
As of what date were the details related to Lake Shore Behavioral Health most recently updated or revised?
The information pertaining to Lake Shore Behavioral Health, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-24.