National Provider Identifier

Michael McQuade

Michael McQuade is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Buffalo, NY and a listed phone number of (716) 881-6191.

NPI 1104407329Buffalo, NYLicensed Practical Nurse

Profile Overview

NPI
1104407329
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
April 19, 2021
Last Updated
June 30, 2025

Practice Location

  • 184 Barton St
  • Jericho Road Community Health Center
  • Buffalo, NY 14213-1573

Phone: (716) 881-6191

Mailing Address

  • 1312 Ellicott Creek RD
  • Tonawanda, NY 14150-4719

Specialties

  • Licensed Practical Nurse (164W00000X)
  • Case Manager/Care Coordinator (171M00000X)
Full Record
NPI
1104407329
Entity Type
Individual
Last Name
McQuade
First Name
Michael
Name Prefix
Mr.
Mailing Street Address
1312 Ellicott Creek RD
Mailing City
Tonawanda
Mailing State
NY
Mailing ZIP Code
14150-4719
Mailing Country
US
Mailing Phone
(716) 534-9059
Practice Street Address
184 Barton St
Practice Address Line 2
Jericho Road Community Health Center
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14213-1573
Practice Country
US
Practice Phone
(716) 881-6191
Enumeration Date
April 19, 2021
Last Updated
June 30, 2025
Sex
Male
Sole Proprietor
No
Certification Date
June 30, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X), Case Manager/Care Coordinator (171M00000X)