The Wellness Institute of Greater Buffalo and Western New York, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

THE WELLNESS INSTITUTE OF GREATER BUFFALO AND WESTERN NEW YORK, INC.

Practice address

65 Niagara SQ
Room 607
Buffalo, NY 14202-3313

Phone

(716) 851-4052

Fax

(716) 851-4309

NPI assigned

Jun 23, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Philip L. Haberstro

Title

Executive Director

Phone

(716) 851-4052

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308787200000",
    "number": "1184910655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 NIAGARA SQ",
            "address_2": "ROOM 607",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023313",
            "telephone_number": "716-851-4052",
            "fax_number": "716-851-4309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 NIAGARA SQ",
            "address_2": "ROOM 607",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142023313",
            "telephone_number": "716-851-4052",
            "fax_number": "716-851-4309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WELLNESS INSTITUTE OF GREATER BUFFALO AND WESTERN NEW YORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-23",
        "last_updated": "2011-06-23",
        "status": "A",
        "authorized_official_last_name": "HABERSTRO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "716-851-4052",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Educator in Buffalo, NY
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• Health Educator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.