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BUFFALO BEACON CORPORATION

Addiction Substance Use Disorder

Amherst, New York

Provider NPI: 1083618672

Organization Information:
Organization Name:  BUFFALO BEACON CORPORATION
Organization is not Subpart
Authorized Official:  JACQUELINE L WEST  CHIEF OPERATING OFFICER  716-8311937

Practice Location:
3354 SHERIDAN DR  AMHERST, NY 14226 US
Tel: 716-831-1937  Fax: 716-831-8837

Business Mailing Address:
3354 SHERIDAN DR  AMHERST, NY 14226 US
Tel: 716-831-1937  Fax: 716-831-8837

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N261QM2800XAmbulatory Health Care Facilities
Clinic/Center
Methadone
NY170912042
N261QR0405XAmbulatory Health Care Facilities
Clinic/Center
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
NY050610689

Other Provider Identifiers:

IssuerNumberStateType
01183233NY05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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