Provider Demographics
NPI:1124317599
Name:GIRLS ON THE RUN OF BUFFALO, INC.
Entity type:Organization
Organization Name:GIRLS ON THE RUN OF BUFFALO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNCIL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOYCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-400-1019
Mailing Address - Street 1:PO BOX 1271
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14213-7271
Mailing Address - Country:US
Mailing Address - Phone:716-400-1019
Mailing Address - Fax:
Practice Address - Street 1:232 MIDDLESEX RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14216-3118
Practice Address - Country:US
Practice Address - Phone:716-400-1019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable