Provider Demographics
NPI:1730512948
Name:UNIVERSITY MEDICAL RESIDENCY SERVICES
Entity type:Organization
Organization Name:UNIVERSITY MEDICAL RESIDENCY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-829-6130
Mailing Address - Street 1:117 CARY HALL
Mailing Address - Street 2:3435 MAIN STREET
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14214-3023
Mailing Address - Country:US
Mailing Address - Phone:716-829-2012
Mailing Address - Fax:716-829-3999
Practice Address - Street 1:100 HIGH STREET, B2 ORTHO
Practice Address - Street 2:BUFFALO GENERAL MEDICAL CENTER
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14203
Practice Address - Country:US
Practice Address - Phone:716-859-1256
Practice Address - Fax:716-859-4586
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-12
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital