institution
Western New York Dc, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Williamsville, New York
NPI 1427123165

Western New York Dc, Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Boulder, NY and is specialized in End-Stage Renal Disease (ESRD) Treatment. Western New York Dc, Llc practices in Williamsville, NY. The NPI Number for Western New York Dc, Llc is 1427123165 and holds a License No. 1401229R (New York).

The current practice location address for Western New York Dc, Llc is 1542 Maple Rd, Williamsville, NY and can be reached out via phone at 716-636-3300 and via fax at 716-636-1893. You can also correspond with Western New York Dc, Llc through the mailing address at 2100 CENTRAL AVE, BOULDER, CO - 80301-2838 (mailing address contact number: 303-785-7523).

Location: 1542 Maple Rd, Williamsville, NY, 80301-2838
institution
Provider Profile Details
NPI Number
1427123165
Provider Name
Western New York Dc, Llc
Credential
Provider Entity Type
Organization
Address
1542 Maple Rd, Williamsville, NY, 80301-2838
Phone Number
716-636-3300
Fax Number
716-636-1893
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
000000378001 01 NY BLUE CROSS PROVIDER NUMBE
01984981 05 NY
institution
Provider Business Practice Location Address Details
Address
1542 Maple Rd
City
State
Zip
14221-3625
Phone Number
716-636-3300
Fax Number
716-636-1893
person
Provider Business Mailing Address Details
Address
1542 Maple Rd
City
State
Zip
14221-3625
Phone Number
716-636-3300
Fax Number
716-636-1893
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
License No.
1401229R (New York)
Definition
Definition to come...
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