Lake Shore Behavioral Health

NPI #1184897258 in Buffalo, New York

Provider Information

NPI Number: 1184897258
Entity Type: Organization
Organization Name: Lake Shore Behavioral Health
Primary Specialty: Private Vehicle
Enumeration Date: Apr 9, 2008
Last Updated: Apr 9, 2008

Practice Location

Address: 430 NIAGARA STREET
Address 2: TRANSPORTATION
City: Buffalo
State: New York
ZIP Code: 14201
Phone: (716) 856-2587

Authorized Official

Name: DR. HOWARD K HITZEL
Title: PRESIDENT
Phone: (716) 842-0440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X	Primary

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