COMPREHENSIVE DIALYSIS CENTER OF WESTERN NEW YORK INC. NPI 1245235902

NPI Information

NPI: 1245235902
Provider Name: COMPREHENSIVE DIALYSIS CENTER OF WESTERN NEW YORK, INC.

Other Name: CDCWNY

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
6010 MAIN ST
WILLIAMSVILLE, NY
ZIP 14221
Phone: (716) 631-4700
Get Directions

COMPREHENSIVE DIALYSIS CENTER OF WESTERN NEW YORK, INC. is an end-stage renal disease (esrd) treatment clinic center in Williamsville, NY. COMPREHENSIVE DIALYSIS CENTER OF WESTERN NEW YORK, INC. NPI is 1245235902. The provider is registered as an organization entity type.
The provider Other Name Is Cdcwny.

The provider's business location address is:

6010 MAIN ST
WILLIAMSVILLE, NY
ZIP 14221-837
Phone: (716) 631-4700
Fax: (716) 631-4711

The provider's authorized official is Romesh Kohli .
The authorized official title is Medical Director and has the following contact phone number (716) 631-4700.

The enumeration date for this NPI number is 6/17/2005 and was last updated on 12/8/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	121592-1	NEW YORK	No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	144330-1	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01502987	MEDICAID	NEW YORK
2	00011420401	OTHER	NEW YORK	UNIVERA PROVIDER NUMBER
3	332551	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MCR PROVIDER NUMBER
4	B4	OTHER	NEW YORK	IHA PROVIDER NUMBER
5	359	OTHER	NEW YORK	BSBSWNY PROVIDER NUMBER
6	C49517	MEDICARE UPIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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