Provider Demographics
NPI:1588063549
Name:BUFFALO BEACON CORPORATION
Entity type:Organization
Organization Name:BUFFALO BEACON CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:IT DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-332-1139
Mailing Address - Street 1:3131 SHERIDAN DR
Mailing Address - Street 2:STE 106
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14226-1977
Mailing Address - Country:US
Mailing Address - Phone:315-866-3121
Mailing Address - Fax:315-866-0829
Practice Address - Street 1:201 KING ST
Practice Address - Street 2:
Practice Address - City:HERKIMER
Practice Address - State:NY
Practice Address - Zip Code:13350-2409
Practice Address - Country:US
Practice Address - Phone:315-866-3121
Practice Address - Fax:315-866-0829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility