WESTERN NEW YORK DC LLC NPI 1508948050

NPI Information

NPI: 1508948050
Provider Name: WESTERN NEW YORK DC, LLC

Doing Business As: GATES CIRCLE DIALYSIS CENTER

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

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3 GATES CIR
BUFFALO, NY
ZIP 14209
Phone: (716) 887-4736
Get Directions

WESTERN NEW YORK DC, LLC is an end-stage renal disease (esrd) treatment clinic center in Buffalo, NY. WESTERN NEW YORK DC, LLC NPI is 1508948050. The provider is registered as an organization entity type.
The provider Is Doing Business As Gates Circle Dialysis Center.

The provider's business location address is:

3 GATES CIR
BUFFALO, NY
ZIP 14209-120
Phone: (716) 887-4736
Fax: (716) 887-4342

The provider's authorized official is Herbert S Lawson .
The authorized official title is Cfo and has the following contact phone number (303) 785-7521.

The enumeration date for this NPI number is 10/20/2006 and was last updated on 12/12/2011.

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	1401229R	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	000000378000	OTHER	NEBRASKA	BLUE CROSS NUMBER
2	2V	OTHER	NEW YORK	INDEPENDENT HEALTH
3	00030026201	OTHER	NEW YORK	UNIVERA INSURANCE COMPANY
4	332597	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	MEDICARE PROVIDER NUMBER
5	01984981	MEDICAID	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: 4/28/2024

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