institution
Western New York Dc, Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Buffalo, New York
NPI 1508948050

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 Buffalo, NY. The NPI Number for Western New York Dc, Llc is 1508948050 and holds a License No. 1401229R (New York).

The current practice location address for Western New York Dc, Llc is 3 Gates Cir, Buffalo, NY and can be reached out via phone at 716-887-4736 and via fax at 716-887-4342.

Location: 3 Gates Cir, Buffalo, NY, 80301-2838
institution
Provider Profile Details
NPI Number
1508948050
Provider Name
Western New York Dc, Llc
Credential
Provider Entity Type
Organization
Address
3 Gates Cir, Buffalo, NY, 80301-2838
Phone Number
716-887-4736
Fax Number
716-887-4342
Provider Enumeration Date
10/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2V 01 NY INDEPENDENT HEALTH
00030026201 01 NY UNIVERA INSURANCE COMPANY
01984981 05 NY
000000378000 01 NE BLUE CROSS NUMBER
institution
Provider Business Practice Location Address Details
Address
3 Gates Cir
City
State
Zip
14209-1120
Phone Number
716-887-4736
Fax Number
716-887-4342
person
Provider Business Mailing Address Details
Address
3 Gates Cir
City
State
Zip
14209-1120
Phone Number
716-887-4736
Fax Number
716-887-4342
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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