Provider Demographics
NPI:1194247155
Name:ERIE COUNTY
Entity type:Organization
Organization Name:ERIE COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. CLERK TYPIST
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:TRAPPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-858-8917
Mailing Address - Street 1:134 WEST EAGLE STREET
Mailing Address - Street 2:5TH FL, RM 515
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:134 W EAGLE ST STE 515
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-3800
Practice Address - Country:US
Practice Address - Phone:716-858-4998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center