Vestal Healthcare, LLC
Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Williamsville, NY. Organization (NPI-2).
NPI number1003239062
StatusActive
Last updated in NPPESOct 19, 2023
Details
- NPI
- 1003239062
- Entity type
- Organization (NPI-2)
- Legal business name
- Vestal Healthcare, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 28, 2014
- Certification date
- Oct 19, 2023
- Last updated
- Oct 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QE0700X | Clinic/Center, End-Stage Renal Disease (ESRD) Treatment | – | – | Yes |
Other names
- Freedom Center Of Buffalo (Doing Business As)
Practice location
52 S Union RdWilliamsville, NY 14221-6555
Phone 716-630-6831 · Fax 716-630-6838
Mailing address
52 S Union RdWilliamsville, NY 14221-6555
Phone 716-630-6831 · Fax 716-630-6838
Authorized official
Barry L. Blanton
Vice President
7816999000
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