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Contact Information

LAKE SHORE BEHAVIORAL HEALTH
LAKE SHORE BEHAVIORAL HEALTH
254 FRANKLIN STREET
BUFFALO, NY14202
 Phone: 716-842-0440
 Fax: 716-842-4069
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinic/Center

261Q00000X
Indicates primary specialty

NPI Profile & details for LAKE SHORE BEHAVIORAL HEALTH

NPI Number 1346424520
LBN Legal business name LAKE SHORE BEHAVIORAL HEALTH
Authorized official HOWARD HITZEL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/24/2007
Last updated 12/24/2007 - About 18 years ago
Identifiers
NY License # 02732658
NY Other MMIS#02732658 RISPERDAL CONSTA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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