WNY Medical Record Resource

Medical Provider Agencies

Address/ Contact

ERIE COUNTY

Erie County Medical Center

(ECMC Authorization Form)

ATTN: Health Information Management Department G30

462 Grider Street

Buffalo, NY 14215

Phone: (716) 898-3257 *3258

Fax: (716) 898-5358

Buffalo General Medical Center/Gates Vascular Institute
(
Kaleida Health Authorization Form)

ATTN: Health Information Dept – Correspondence

100 High Street

Buffalo, NY 14203

Phone: (716) 859-2759

Fax: (716) 859-1467

Millard Fillmore Suburban Hospital
(Kaleida Health Authorization Form)

ATTN: Health Information Dept – Correspondence

1540 Maple Road

Williamsville, NY 14221

Phone: (716) 568-6500

Fax: (716) 568-3015

Women & Children’s Hospital of Buffalo
(
Kaleida Health Authorization Form)

ATTN: Health Information Dept – Correspondence

219 Bryant Street

Buffalo, NY 14222

Phone: (716) 878-7401

Fax: (716) 888-3815

Buffalo Mercy Hospital

(Catholic Health Authorization Form)

565 Abbott Rd.

Buffalo, NY 14220

Phone: (716) 828-2322

Fax: (716) 447-6269

Sisters of Charity Hospital Main St. Campus

(Catholic Health Authorization Form)

2157 Main St.

Buffalo, NY 14214

Phone: (716) 862-1986

Fax: (716) 862-1879

Sisters of Charity Hospital St. Joseph Campus

(Catholic Health Authorization Form)

2605 Harlem Rd.

Cheektowaga NY 14225

Phone: (716) 891-2157

Fax: (716) 981-2448

Kenmore Mercy Hospital

(Catholic Health Authorization Form)

2950 Elmwood Ave.

Kenmore NY 14217

Phone: 716-447-6116

Fax: (716) 828-3412

Buffalo VA Medical Center

(VA Authorization Form)

3495 Bailey Avenue

Buffalo, NY 14215

Phone: (716) 862-6304

Fax: (716) 862-6720

Neighborhood Health Center

(Case Manager release form is acceptable)

(Please reach out to ‘Primary Contact’ before reaching out to individual Health Centers)

Primary Contact

Jennifer Mrozielski

716-242-8600 *483

j.mrozielski@nwbchcc.org

Mattina Office

300 Niagara St.

Buffalo, NY 14201

Phone: (716) 242-8600

Fax: (716) 332-0832

Northwest Buffalo Office

155 Lawn Ave

Buffalo, NY 14207

Phone: (716) 875-2904

Fax: (716) 875-5346

Southtowns Office

3674 Commerce Pl

Hamburg, NY 14075

Phone: (716) 648-4345

Fax: (716) 648-4385

NIAGARA COUNTY

DeGraff Memorial Hospital

(Kaleida Health Authorization Form)

ATTN: Health Information Dept – Correspondence

445 Tremont Street

North Tonawanda, NY 14120

Phone: (716) 690-2016

Fax: (716) 690-2390

Niagara Falls Memorial Medical Center
(
Authorization for Release of Health Information)

ATTN: Health Information Services

621 Tenth St.

Niagara Falls, NY 14302
Phone: (716) 278-4000

Fax: (716) 278-4068

Mount Saint Mary’s Hospital
(
Catholic Health Authorization Form)

5300 Military Road

Lewiston, NY 14092

Phone: (716) 514-5757

Eastern Niagara Hospital (Lockport)

521 East Ave,

Lockport, NY 14094

Phone: (716) 514-5757

GENESEE COUNTY

United Memorial Medical Center

127 North Street

Batavia, NY 14020

Phone: (585) 343-6030

Fax: (585) 344-7434

Batavia VA Medical Center

(VA Authorization Form)

222 Richmond Ave

Batavia, NY 14020

Phone: (585) 297-1000

WYOMING COUNTY

Wyoming County Community Health System

Patricia Millen, Interim Director of Medical Records

400 N Main St

Warsaw, NY 14569

Phone: 585-786-8940 Ext. 4429

Batavia VA Medical Center

(VA Authorization Form)

222 Richmond Ave

Batavia, NY 14020

Phone: (585) 297-1000

ORLEANS COUNTY

Medina Memorial Hospital

200 Ohio St

Medina, NY 14103

Phone: (585) 798-2000