UB FAMILY MEDICINE INC NPI 1942294467

NPI Information

NPI: 1942294467
Provider Name: UB FAMILY MEDICINE, INC

Former Legal Business Name: FAMILY MEDICINE FACULTY ASSOCIATES

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
77 GOODELL STREET
SUITE 240
BUFFALO, NY
ZIP 14203
Phone: (716) 645-9694
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UB FAMILY MEDICINE, INC is a family medicine in Buffalo, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. UB FAMILY MEDICINE, INC NPI is 1942294467. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Family Medicine Faculty Associates.

The provider's business location address is:

77 GOODELL STREET
SUITE 240
BUFFALO, NY
ZIP 14203-243
Phone: (716) 645-9694
Fax: (716) 845-6699

The provider's authorized official is Henry Mcwilliams .
The authorized official title is Cfo/plan Administrator and has the following contact phone number (716) 816-7228.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 3/11/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01739220	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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